Community Health Resources
This is for individuals and families who are currently quarantining due to COVID-19 exposure or diagnosis. The Community Health Workers will contact you based on the information received. This is for helping community members get access to the resources they need in order to maintain quarantine guidelines. For information regarding quarantine or isolation, please contact the Jackson County Health Department’s COVID-19 Hotline: (816) 404-9883. If you are experiencing a medical emergency, please call 911.
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer (if applicable)
Primary Language
Services Needed
Food
Housing
Financial Assistance (rent/mortgage, utilities)
Legal
Health/wellness organizations
Work
Is there a friend, family member, or other person outside of your household that has not been exposed to COVID-19 that could pick up resources for you?
Yes
No
Additional Information:
Submit
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