Schedule an Appointment

Name *

First Last

Best Way to Contact You *

Phone
Email

Phone *

Email *

Enter Email Confirm Email

How did you hear about us?

Search Engine (Google)
Print
Family/Friend
Health Care Provider
Organization
Other

Services *

Please select a service.

Specific Service Requested *

Please select a specific services

Calendar *

September 2020

Mon	Tue	Wed	Thu	Fri	Sat	Sun
	1	2	3	4	5	6
7	8	9	10	11	12	13
14	15	16	17	18	19	20
21	22	23	24	25	26	27
28	29	30

September 21, 2020

September 22, 2020

September 23, 2020

September 24, 2020

September 25, 2020

September 28, 2020

September 29, 2020

September 30, 2020

Participants may drop-off one laundry mat sized bag full of clothing to be washed and dried. You will be given a ticket stub that will let you know when your items will be READY for PICK UP.

For safety, all laundry will be washed in hot water. Please keep this in mind, should you have clothes that are delicate or should not be washed in hot water with light colors.

You must pick up your laundry when staff schedules you. After ONE week, ALL unclaimed clean laundry will be folded and added to the Clothing Closet.

Case Manager

If you have a social worker or case worker assigned to you, please provide the information below.

Case Worker or Social Worker Name

First Last

Case Worker or Social Worker Organization

Case Worker or Social Worker Phone

Clothing Sizes

Please indicate your size preference for the following:

Top

M
F

Top Size

Bottom

M
F

Bottom Size

Underwear

M
F

Underwear Size

Bra Size

Name

This field is for validation purposes and should be left unchanged.