Jackson Care Connect — Social Needs Request Form

[data-cky-tag]{visibility:hidden;}ul:not(.list-none):not(.list-checkmarks):not(.list-circle-checkmark):not(.list-video-play):not(.list-box) li:before{--tw-text-opacity:1;color:rgb(40,116,175,var(--tw-text-opacity));content:"·";display:inline-block;font-family:u0000;font-size:2.5rem;font-weight:900;line-height:1;margin-left:-.5em;position:relative;top:8px;width:.5em;}.page-id-4775 .countdown-container a{visibility:hidden;display:none;}.page-id-4775 .countdown-container{background:#fff;padding:.5rem;padding-right:1.55rem;width:480px;}.page-id-4775 #event-landing a.basic-button{display:none;}.page-id-4775 #register{visibility:hidden !important;display:none !important;}.page-id-1940 #event-landing a.button{border-width:0 !important;background-color:transparent !important;display:none !important;visibility:hidden !important;}.category-blog blockquote{font-style:normal;}.page-id-5410 .countdown-container a{visibility:hidden;display:none;}.page-id-5410 .countdown-container{background:#fff;padding:.5rem;padding-right:1.55rem;width:480px;}.postid-5410 .\!bg-marketing-14{background-color:#825eb8 !important;}.postid-5410 .\!border-marketing-14{border-color:#825eb8 !important;}.postid-5410 .text-purple{color:#619e66 !important;}.postid-5410 .\!bg-purple{background-color:#619e66 !important;}.postid-5410 .\!border-purple{border-color:#619e66 !important;}.postid-5410 .text-action-light-blue{color:#f270a3;}.page-id-330 .sm\:grid-cols-3 p{min-height:3.1rem;}.page-id-330 .sm\:grid-cols-3 a{margin-top:-10px;}@media screen and (max-width: 679px){.page-id-330 .sm\:grid-cols-3{grid-template-columns:repeat(2,minmax(0,1fr));}.page-id-330 .sm\:grid-cols-3 li:last-child{width:200%;margin:0 auto;}}@media (max-width: 409px){.page-id-330 .sm\:grid-cols-3{grid-template-columns:repeat(1,minmax(0,1fr));}.page-id-330 .sm\:grid-cols-3 li:last-child{width:100%;margin:0 auto;}}a.crumb{color:#f7f8f8 !important;}.page-id-5794 section.component-section.bg-dark{background-color:#08143f;}.page-id-5794 .section-divider.text-dark .w-full.h-full path{fill:#08143f;}.page-id-5794 section.component-section.bg-dark .flex.flex-col .p-6{background-color:rgba(255,255,255,.1);}.post-id-7549 figcaption .wp-caption-text{margin-top:1.5rem !important;}#uu-container iframe{height:1000px;}