Note: We do not qualify individuals based on income status.
How to Apply
You can conveniently apply via our secure online form below. If you have any questions about the application process, please contact one of our Client Services representatives at 612-767-7333.
Looking for another method of applying? Follow the instructions below.
Download one of the following Application Forms (PDF)
Fill out the PDF Application Form
Please note: A signature from your medical provider, case manager or social worker is required.
What Happens Next?
Questions? If you have any questions about the application process, please contact one of our client services representatives at 612-767-7333.