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Malama User Id
Malama App User ID
You may be able to join Malama at no cost to you ❤️
Fill out the information below and we'll check to see if your health insurance offers Malama as a benefit.
Are you currently enrolled in Medi-Cal (Medicaid in California)?
*
Yes
No
Not sure
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Do you need help applying for Medi-Cal?
Yes
No
Other
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Which health plan do you have?
*
Please Select
San Francisco Health Plan
Alameda Alliance for Health
Kaiser Permanente
Health Plan of San Mateo
Santa Clara Family Health Plan
Anthem Blue Cross Partnership Plan
Health Net Community Solutions, Inc.
Partnership Health Plan of California
Contra Costa Health Plan
Mountain Valley Health Plan
CalViva Health
Community Health Plan of Imperial Valley
Kern Family Health Care
L. A. Care Health Plan
Positive Healthcare
CalViva Health
Central California Alliance for Health
CalOptima Health
Inland Empire Health Plan
Molina Healthcare of California Partner Plan, Inc.
Loma Linda University Health
Blue Shield of California Promise Health Plan
Community Health Group Partnership Plan
Health Plan of San Joaquin
CenCal Health
Gold Coast Health Plan
Other
I'm not sure
If you're not sure, select "I'm not sure"
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Which services are you interested in? (Check as many as you'd like)
Free meals
Housing assistance
Transportation options
Doula services
Finding a doctor
Other
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Are you currently experiencing any of the following?
*
I don't have housing/ at risk of homelessness
I've been/am using drugs
I have mental health concerns
I was recently jailed or in a correctional facility
I have an intellectual/developmental disability
I'm pregnant or postpartum (12 months since last birth/termination/loss)
None of the above
Which race/ethnicities do you identify with? (Select as many as you'd like)
*
LatinX
Black/African American
American Indian
Asian
Native Hawaiian/Pacific Islander
White/Caucasian
Other
How did you find Malama?
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Are you experiencing any challenges in your current living situation?
Yes
No
Other
Please describe your situation:
How many times have you visited the emergency room (ER) in the past 12 months?
visits to the ER in the past 12 months
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What's your name?
First Name
Last Name
What's the best phone number?
Please enter a valid phone number.
What's your email?
example@example.com
Which method do you prefer?
Phone
Text
Email
In-person
Email
example@example.com
Phone Number
Please enter a valid phone number.
When would you like us to reach out?
e.g., mornings/evenings, weekends, Tuesday afternoons
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