AssistHers Clients
AssistHers clients are LGBTQ+ women and non-binary individuals with a chronic illness or disability who would benefit from the support of a care team! AssistHers clients must be
LGBTQ+ individuals, who live in an area where volunteers are available and whose needs are not limited to medical care or financial assistance.
AssistHers clients may also be eligible for supplemental food assistance and transportation assistance to-and-from medical appointments. If you think that you would benefit from an AssistHers care team, please fill out the form below.
Intake File Upload
Once you have completed your AssistHers Intake form, please upload them below. Make sure your form is saved with this filename format: “FirstNameLastInitial_FileName”
Ex. JaneD_AssistHers Intake Form