Request for Services or Training
Submit your request, and a member of our team will reach out.
Who are you registering for?
Organization/Agency
Community Group
School/Youth Program
Other
What area best describes your need or interest?
Maternal, Infant & Child Health — Pregnancy, infancy, childhood, parenting, family support, and factors affecting healthy development.
Youth, Adults & Families — At-risk youth, young adults, family concerns, violence, trafficking, overdose, housing, employment, and other life-stage challenges.
Middle Years & Aging — Health, social, financial, housing, isolation, caregiving, and other concerns affecting adults and older adults.
Community & Social Conditions — Transportation, housing, food, education, healthcare access, employment, neighborhood conditions, and other social determinants of health.
Substance Use — overdose risk and death, behavioral risk factors, preventable outcomes, environmental factors.
Unhoused Populations — mental health, substance use, transportation, illness, healthcare, housing, food insecurity, lack of identification, safety
What type of assistance are you seeking?
Information/Resources
Education or Training
Community Services
Referral/Connection to Resources
Organization Partnership
Other
Tell us briefly what you need.
Preferred contact method
Phone
Email
Text
No preference
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Thank you for your interest in Illinois C.A.R.E.S™
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