How do I request housing support?
We offer support for housing as well as long-term hotel stays. To request support, download and fill out a form for the type of support you need and submit it to Jackson Care Connect by email or fax.
You can fill out and return the form yourself, or with the help of a parent, a caregiver, or a guardian/support/trusted friend, or a staff member from an organization or clinic.
If you have questions or would like help filling out the request form(s), contact Jackson Care Connect Customer Service at info@jacksoncareconnect.org or 541-500-0567, toll-free 855-722-8208 or TTY 711.
Hotel requests
Please read the following documents:
Submit forms by fax or email
- Fax: 503-416-4728
- Email: Requests.social.determinants@careoregon.org
Housing support request form
Submit forms by fax or email
- Fax: 503-416-4728
- Email: Requests.social.determinants@careoregon.org