Inadequate or lack of insurance coverage?
Difficulty paying bills?
Need for financial assistance from Medicaid/Medicare?
Confusing financial paperwork?
Need for prescription assistance?
Need for medical equipment/supplies Other?
Physical Needs (Child/elder care Housing/housing problems Food, clothing, other physical needs Prostheses, wigs, etc.)
Vocational support (job skills, employment skills)
Extended care needs: home care, hospice, long-term care [ ] Other: