Helping Educate and Link the Homeless Program
A Care Coordination Model for the Medically Underserved
1312 Culmen Street
Madison, WI 53725
health
The following is a list of city, state and federal resources available to assist homeless patients in Dane County. HEALTH Program volunteers work with patients to review eligibility and complete applications for relevant programs.
Porchlight, Inc Housing Application
Centers for Medicare and Medicaid
ForwardHealth Pharmacy Information
Medicaid Authorization of Representative Form
Medicaid Disability Application
Medicaid Financial Disability Form
Medicaid Presumptive Disability Authorization for Information Disclosure
Medicaid Presumptive Disability Form
Medicare Prescription Drug Plan Finder
Social Security
Social Security Disability Information (Redbook)
Power of Attorney
HealthCare Agent Discussion Guide
Power of Attorney for Health Care Form
Literacy
Copyright 2009 HEALTH Program. All rights reserved.
1312 Culmen Street
Madison, WI 53725
health