Access and Functional Assistance

Please help those you know who need assistance accessing this form. Your effort can make a meaningful impact for members of our community.

The Park County Health Department is connecting people with disability-related or functional needs who have been affected by flooding with extra help. These needs include difficulty with internet access, communication, maintaining health, independence, safety, support services self-determination (i.e., choice, self-advocacy), transportation etc.

Fill out the form at this link:

https://PHEP.formstack.com/forms/mtflood22_afn_form

or call Shannan Piccolo at 406-222-4145 for help filling it out.