Request care

Tell us a bit about who needs care.

A HAAS team member will be in touch within one business day. The form takes about 5 minutes — and there are no wrong answers.

01Tell us who needs careYourself, a family member, or a client you manage.
02We call within a dayTo talk through funding fit — Medical Assistance or a waiver.
03We match a caregiverBy language, culture, location, and your schedule.
Secure form, hosted by the HAAS appOpen in a new tab

Prefer to fill this out in its own window? Open the form in a new tab · or call (651) 756-8492.

Looking to apply for a job instead? See open positions. Office hours are Mon–Fri, 9am–5pm.