You’re not alone — we’re here to help.

By submitting this form, you’ll be connected with a Care Coordinator from Unite Us, our trusted partner dedicated to supporting the Long Gray Line.

​

Your coordinator will take time to listen, understand your needs, and connect you with the right resources for whatever you’re facing.

​

Your information is completely confidential and shared only through a secure, HIPAA-compliant system.

​

This is your first step toward getting the care and support you need — and deserve.