Please do not include Social Security numbers, Medicaid ID numbers, or detailed medical information in this form. Compass Family Care will collect any required information through a secure workflow after the first conversation.
Before you reach out
Helpful information to have nearby.
1
Your county
This helps confirm current service capacity.
2
Living arrangement
Whether the participant and caregiver live together is important for SFC.
3
Waiver status
If there is already a care manager, it helps to know where the person is in the authorization process.