{"id":10404,"date":"2023-05-18T14:16:06","date_gmt":"2023-05-18T14:16:06","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/roanoke\/?page_id=10404"},"modified":"2025-04-08T13:34:27","modified_gmt":"2025-04-08T13:34:27","slug":"resource-request-form","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/roanoke\/community-outreach-services\/resource-request-form\/","title":{"rendered":"Community Resource Assistance Request Form &#8211; Unite Us"},"content":{"rendered":"<h1><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11582\" src=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/06\/Uniteus-Webpage-2.png\" alt=\"Need Support? *photo of 5 diverse parents and their children*\" width=\"1081\" height=\"740\" srcset=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/06\/Uniteus-Webpage-2.png 1394w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/06\/Uniteus-Webpage-2-300x206.png 300w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/06\/Uniteus-Webpage-2-1024x702.png 1024w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2024\/06\/Uniteus-Webpage-2-768x526.png 768w\" sizes=\"auto, (max-width: 1081px) 100vw, 1081px\" \/><\/h1>\n<h1 style=\"text-align: left;\"><span style=\"font-size: 36pt; color: #0d425d;\">NEED SUPPORT?<\/span><\/h1>\n<p style=\"text-align: left;\">We want to work with you to meet your needs. Community Health Workers serve as a<br \/>\nbridge between healthcare and community resources. We can provide:<\/p>\n<ul>\n<li style=\"text-align: left;\">Support and advocacy for your needs<\/li>\n<li style=\"text-align: left;\">Help addressing barriers<\/li>\n<li style=\"text-align: left;\">Healthcare navigation and education<\/li>\n<li style=\"text-align: left;\">Access to health department services such as car seat and infant safe sleep resources, developmental screenings,<br \/>\nin-home support for caregivers, childcare, WIC, and family resources<\/li>\n<\/ul>\n<h3><span style=\"color: #0d425d;\">If you would like an RCAHD Community Health Worker to contact you about health department or community resources, please complete this form.<\/span><\/h3>\n<p>By completing the form, you\u2019ll be entered into our secure, coordinated network of community resources, powered by <span style=\"text-decoration: underline;\"><a href=\"https:\/\/uniteus.com\/\">Unite Us<\/a><\/span>*. A specialist will contact you after you submit the form.<\/p>\n<p>Questions? Call us at (540) 283-5050. To cancel or change a health department appointment, please <span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.vdh.virginia.gov\/roanoke\/contact-us\/\">contact the health department<\/a><\/span> where your appointment was scheduled.<\/p>\n<p>*Unite Us is a coordinated community referral network. The goal of the platform is to reduce health disparities experienced across the community by increasing access to non-clinical resources such as housing, food, education, and employment and financial resources.<\/p>\n<p><div id=\"uu-container\" style=\"height: 1000px;\"><\/div>\r\n<script type=\"text\/javascript\" src=\"https:\/\/widgets.uniteus.io\/public\/widget.js\"><\/script>\r\n<script type=\"text\/javascript\">\r\nvar token = 'eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCIsImtpZCI6IndpdWVob2QzMjc4dTJkaG93aDgifQ.eyJpc3MiOm51bGwsInN1YiI6Ijk5NmE3OGNjLTMwMzYtNDU3My1hNGRmLTgxOTk0ZDc3ZjVlNyIsImVtYWlsIjoiZ2xvYmFsLWFyLWFwaS1rZXlAdW5pdGV1cy5jb20iLCJhdWQiOltdLCJleHAiOjM4MDUwNTM3NDMsIm5iZiI6MTY1NzU3MDA5NiwiaWF0IjoxNjU3NTcwMDk2LCJqdGkiOiJjY2VjYjI4ZGI2MGI3NzIyZDExZGY4YjU0OGIxZGJkODU0NzdjYjYwYmEyNjAzOWUwOCIsInVzZXJfaW50ZXJjb21faG1hYyI6ImY3NmZmNzYwNzNmMzgxYzhjMzdkNDQ1NWEwMWFiNThlOTkyMGIxZjE1ZGYxMTQ5Yzk1NmIxN2ZkZmIyZDQ2ZGUifQ.pUlwmNAASQC7Ey-GpXf_vxClGjedx6oGenmt3Eme8Js';var provider_id = '0662149f-e67f-405f-953b-1633bf6aa49f';window.Uniteus.assistanceRequestWidget(token, 'uu-container', provider_id);\r\n<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>NEED SUPPORT? We want to work with you to meet your needs. Community Health Workers serve as a bridge between healthcare and community resources. We can provide: Support and advocacy for your needs Help addressing barriers Healthcare navigation and education Access to health department services such as car seat and infant safe sleep resources, developmental [&hellip;]<\/p>\n","protected":false},"author":450,"featured_media":0,"parent":256,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-10404","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Community Resource Assistance Request Form - Unite Us - Roanoke Health District<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/roanoke\/community-outreach-services\/resource-request-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Community Resource Assistance Request Form - Unite Us - Roanoke Health District\" \/>\n<meta property=\"og:description\" content=\"NEED SUPPORT? 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