To begin receiving our services, you’ll need to complete the Consumer Choice Form. Please follow these steps carefully:​​

 

Step 1 – Access the Form

• Click the "Fill Out Form" button below that applies to you.

• The form will download in a new tab/window.

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Step 2 – Complete All Required Fields​

• Read each section carefully and fill-out all sections that apply.​

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Step 3 – Submit the Form

• Submit the completed form via email to: ourcommunitymhrs@gmail.com