Housing Help

Housing Help

Pair Team has helped 1,000s of people in California get connected to housing resources.
Please fill out this form, so we can call you to help. This is a free benefit to people with Medi-Cal in California.
What best describes your housing situation?*

I'm currently homelessI'm worried about losing my current housingI have other housing concerns
How quickly would you like to be called to get help with housing?*

As soon as possibleAnytime today or tomorrowAnytime this week
What phone number should we call?*
What is your full name?*

First NameMiddle NameLast Name
What is your full name?
What is your date of birth?*

MonthDayYear
Date
What type of health insurance coverage do you have?*

Medicaid (Medi-Cal)MedicareEmployer or Private Insurance (e.g., Blue Cross, Aetna, etc.)None / UninsuredI don’t know
If you have Medicaid, which is your insurance provider?*
GCLID
FCLID
By clicking “Submit”, you agree that Pair Team may contact you by call or text.
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