Secure Paperwork

Secure Medicaid / TSS Paperwork

Use this secure paperwork page to begin Medicaid eligibility screening consent and Tenancy Support Services referral paperwork with Anchor Support Service LLC.

Already ready to begin? Complete Anchor’s secure online TSS paperwork.

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Before you begin

The forms are submitted securely through Jotform. Printed forms are generally not necessary, and completing paperwork begins the review process.

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Please do not submit Medicaid numbers, Social Security numbers, medical records, legal documents, or private records through ordinary email or the public contact form. This paperwork should only be completed through the secure signing process below.

Submitting these forms begins the review process and does not guarantee HEART enrollment, TSS eligibility, prior authorization, funding, financial assistance, housing placement, or service approval.

Complete paperwork online

Phone and tablet users can jump directly to the secure online paperwork section below.

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Secure Online Submission

Secure TSS Paperwork

Complete and submit the required Anchor Support Service paperwork securely through Jotform. Printed copies are generally not necessary.

Submitting these forms begins the review process and does not guarantee eligibility, authorization, funding, or service approval.

Having trouble loading the form? Open the secure TSS paperwork in a new tab .

Ready to complete the secure paperwork?

Use the secure online form above to continue the TSS paperwork process with Anchor Support Service LLC.

Start Secure Paperwork