Community Support
  • Community Support

    A one-stop platform for community services in our community. Our goal is to connect you with free services provided by nonprofit organizations across our community.
  • Here's how it works:

    1. Answer a few questions: We've designed a quick and easy questionnaire to understand your needs better. Your responses will help us determine the services you may be eligible for.

    2. Get personalized results: Based on your answers, we'll identify a tailored list of free or low cost services that you may qualify for. These could range from healthcare to educational resources, case management, and more.

    3. Access services: We will connect you with the organizations you qualify for. Our aim is to ensure you find the support you need when you need it.


    Remember, your information is confidential and will only be used to assist you in finding the appropriate services.

    When you're ready, click the Start button below and let Health Plus Indiana connect you with the resources you need.

  • Location
  • About You

    Please tell us a little more information about you. These questions help us understand who we are serving.
  • What is your gender?*
  • What is your Race?*
  • How can we help?

    Please answer a few questions about your situation so we can see if you qualify for free or low-cost services with one more of our community partners.
  • In the past year, have you or any family members you live with been unable to get any of the following when it was really needed? (select all that apply)*
  • In the past 12 months, did you worry that your food would run out before you had money to buy more?*
  • In the past 12 months, did the food you bought not last, and you didn’t have money to get more?*
  • Do you feel safe in your home?*
  • In the past 12 months, has anyone physically hurt, threatened, or controlled you in a way that made you feel unsafe?*
  • What is your current living situation?*
  • How can we help?

    Please answer a few questions about your situation so we can see if you qualify for free or low-cost services with one more of our community partners.
  • Do you currently have health insurance?*
  • In the past year, have you been screened for any of the following conditions? (select all that apply)*
  • When was your last visit to a primary care provider?*
  • Do you have access to needed prescription medications?*
  • Have you seen a dentist in the past 12 months?*
  • In the past year, have you used drugs or alcohol in a way that has negatively affected your daily life?*
  • Would you like help accessing substance use treatment services?*
  • Would you like help accessing harm reduction supplies?*
  • How can we help?

    Please answer a few questions about your situation so we can see if you qualify for free or low-cost services with one more of our community partners.
  • In the past two weeks, how often have you felt down, depressed, or hopeless?*
  • In the past two weeks, how often have you felt anxious or on edge?*
  • Have you experienced eviction or homelessness in the past 12 months?*
  • Are you currently pregnant or caring for an infant?*
  • Would you like help accessing prenatal or postpartum care, WIC, or parenting support?*
  • In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?*
  • How can we help?

    Please answer a few questions about your situation so we can see if you qualify for free or low-cost services with one more of our community partners.
  • Are you living with HIV?*
  • Are you currently enrolled in HIV Care Coordination services?*
  • Are you living with Hepatitis C Virus (HCV)?*
  • Are you currently enrolled in Hepatitis C Care Coordination services?*
  • In the last 12-months, have you been tested for HIV?*
  • In the last 12-months, have you been tested for Sexually Transmitted Illnesses (STIs)?*
  • Support May Be Available!

    We have identified one or more programs that may be helpful to you.
  • Would you like to be contacted for assistance with any of the services you identified needing help with?*
  • Preferred Contact Method*
  • Would you like to receive email communications from Health Plus Indiana about healthcare services and announcements?*
  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Preferred Language
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    This will be hidden on the live form. This is used to determine which flags the user has qualified for.
  • Flags
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