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The Power of Assistance Request Forms in Connecting People to Social Care


No Wrong Door

Social care is a complex and rapidly changing landscape. Many people across the US have unmanaged medical conditions, face challenging social and personal barriers, and have fallen through the cracks despite the massive investments that healthcare organizations and government agencies have made in people, technology, and outreach. 

The Cost of Falling Through the Cracks

  • + 59% total cost of care
  • + 79% inpatient hospital admissions
  • + 100% emergency department visits

Source: 2022 Impact Report

People with the most challenging social and healthcare needs usually reach out to the organizations and community groups they trust the most. Being able to request support in a secure, reliable, and efficient way makes sure those individuals can access the services and support they need, no matter which door they open.

The Power of an Assistance Request Form

That’s where Unite Us comes in. We partner with provider, health plan, government, and nonprofit organizations across the nation to launch Assistance Request Forms (ARF) that help individuals get connected to social care. 

How It Works

An Assistance Request Form is a public-facing form that enables people to quickly request the services they need, such as food support, housing, or employment assistance. In the form, they can securely share their own or a family member’s basic contact information in addition to the type of need, a short description of the need,  and their consent for this information to be shared with a secure network of providers who can help. The ARF is available in 35 languages to ensure that people can get connected to the care they need as seamlessly as possible.  

assistance request form demo

After the ARF is submitted, there are two options for what happens next: 

  1. Direct response from community-based organizations (CBOs) – If CBOs on the Unite Us Platform have opted to directly respond to ARFs, then the submission will be sent to a recipient organization’s dashboard. At the receiving organization, the relevant users will be notified of the inbound requests for services, and they can reach out to the person directly to provide support.
  2. Support from Unite Us Care Coordination Team – Another option that organizations can take is to loop in the Unite Us Care Coordination team. The Unite Us Care Coordination team serves as social care coordinators by identifying and executing appropriate client referrals, taking the onus off of in-house organization administrators. The Care Coordination team will reach out to the person who submitted the ARF form to gather more information as needed, and send a referral through the Unite Us Platform to a local organization that can help. 

Ultimately, in both scenarios, the person who submitted the ARF is seamlessly and securely connected to the care they need. 

assistance request process


Get Started 

Interested in learning more about how Assistance Request Forms can further your SDoH strategy? Request a demo to get started today. 

Request a demo

About Unite Us

Unite Us is the nation’s leading software company bringing sectors together to improve the health and well-being of communities. We drive the collaboration to identify, deliver, and pay for services that impact whole-person health. Through Unite Us’ national network and software, community-based organizations, government agencies, and healthcare organizations are all connected to better collaborate to meet the needs of the individuals in their communities.