Resource Request Form

If you have a need, we want to help you. 

To receive assistance from Heart of the City, please fill out the form below to request to begin the intake process. It takes a few days to get the intake process started. PLEASE ALLOW 48 HRS TO RECEIVE A RESPONSE.

If you are looking for low-fee counseling only, please visit our Counseling Getting Started page.

It is our policy at Heart of the City to respond to requests made via the Heart of the City website, by phone, or in person at our location. We will not be able to respond to requests via text message, social media, or word of mouth.

We cannot offer any immediate or emergency help.
Call 911 if you are in a crisis situation and need immediate help.

We look forward to hearing from you!

Name *
Are you homeless?
Please let us know your most urgent needs *
Choose all that apply