Image
Can we help connect you to the following services?

* Health Insurance

By law, most people are now required to have health insurance. Would you like FREE help in applying for health coverage for you or your child?
If yes, provide your contact information below, or dial 211

* Health Care

If you are unable to obtain health insurance, would you be interested in receiving information about FREE medical care?
If yes, provide your contact information below, or contact People's Health Clinic at (435) 333-1850

* Health Resources

In addition to health insurance, do you need FREE assistance finding health resources for you or your child? Would you like help filling out medical forms?
If yes, provide your contact information below, or call Holy Cross Ministries' Park City Promotora, Raquel Gamarra, at (801) 261-3440 x245

* Vision and Glasses

If you do NOT have health insurance, would you like help obtaining FREE eye exams and glasses?
If yes, provide your contact information below, or contact People's Health Clinic at (435) 333-1850

* Dental Care

If your child does not have health insurance, would you like help getting FREE dental care for him or her?
If yes, provide your contact information below, or contact People's Health Clinic at (435) 333-1850

* Immigration Services

The immigration laws and procedures in the U.S. change frequently. Do you have questions about your immigration status in the Unites States? Would you like to attend a free Immigration Workshop in Park City?
If yes, provide your contact information below or call Holy Cross Ministries at (801) 261-3496

Please provide your information so providers can contact you about the services you are interested in.
Promise Partnerships consist of multiple organizations that provide services in our community. By providing your contact information below, you consent to your contact information being shared with Partners who provide the services offered within the Promise Partnership. This allows them to contact you via phone, email, text, or mail to tell you about their services.

* Parent

* Student

* Email Address

* Primary phone

* Mailing Address

* What is the best way to contact you?

Image

T