Access Program

Access Program - Care Coordination Services 

At LIAM, we understand the unique challenges LGBTQ+ individuals face. That's why we offer specialized Care Coordination Services tailored to your needs through our Access Program. Our very small dedicated team works tirelessly to provide personalized support, connecting you with essential resources, advocacy, and guidance.

Whether you're seeking assistance with housing, healthcare, transportation, gender services or navigating other community services, our Care Coordinators are here to help. By collaborating closely with you, we develop individualized plans to empower you on your journey towards holistic well-being and success.

Ready to take the next step? Fill out our registration form to get started, and let us be your partner in progress. Join the LIAM Family today, where inclusivity, support, and empowerment thrive.

Care Coordination Services available to those residing in Winnebago and Boone counties. 

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Access Program - Care Coordination Registration Form
Disclosure: Collection of Demographic Information

At The LIAM Foundation, we collect demographic information to better understand and serve the diverse needs of our community. Demographic data includes but is not limited to age, gender identity, sexual orientation, race, ethnicity, and socioeconomic status.

The information collected helps us: Ensure Inclusivity, Identify Disparities, Measure Impact, Advocate for Funding & Comply with Legal Requirements.

At The LIAM Foundation, protecting the privacy and confidentiality of individuals' demographic information is paramount. Thank you for helping us gather this valuable information to better serve you and our community.

Thank you so much for your response.
You will be contacted by a LIAM team member as soon as we can. (In some cases this may take up to 3 weeks - we are a small organization). *If you have a time sensitive need, please follow up with an email to Phyllis at executivedirector@theliamfoundation.org
First & Last Name  *
Your personal pronouns (what are pronouns?)
*
Are you 18 or older? *
Birthdate *
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Zip Code (Winnebago & Boone Counties Only) *
Phone number *
Are we able to leave a voicemail and/or text you? *
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Prefer not to say *
How do you identify? (select all that apply)
Which race or ethnicity best describes you? (Please choose only one.)
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Are you homeless or at risk for homelessness?  *
Household Income Information. Please select the option that best represents your total annual household income before taxes.
*
Care Coordination Registration 

Ready to access personalized support tailored to your needs? Complete our Care Coordination Registration Intake below to kickstart your journey towards empowerment. Your input will enable our team to better understand your circumstances, ensuring that we can provide you with the assistance you deserve.

Important Notice: Changes to LIAM Name Change Process

Please be advised that our approach to managing name changes has evolved. We are transitioning to Name Change Clinics, which will be conducted periodically to streamline the process and enhance accessibility.

For detailed information regarding name changes and upcoming clinic dates, please navigate to the dedicated section on our website. We apologize for any inconvenience this transition may cause and appreciate your understanding as we strive to improve our services to better serve the LGBTQ+ community.

What Care Coordination Services are you interested in? Please select all the apply.

*Gender Exploration Planning: the process of assisting trans and nonbinary individuals in identifying their gender goals. Emphasizing the journey of self-discovery and planning while respecting the individual's agency in exploring their gender identity. 
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