Access Health serves as the link between provider, community, and participant.

Access Health will connect your patients to the resources needed so they may focus on reaching their full health potential.

Prescription for Success!

  1. Determine what additional help is needed for the your patient (i.e., medication adherence, insurance, housing, food, chronic disease education, etc.)
  2. Refer your participant to Access Health using the form below:
Services Request

You may complete the form online
or fax the attached forms to 330-437-3717.

Patient Referral Form

  • MM slash DD slash YYYY

  • A Community Health Worker is needed to help this participant with:

  • Social Services/Community Conditions

  • Education about:

  • The participant has been diagnosed with the following chronic conditions: