Request a Referral

Experiencing a mental health crisis? Call us at (309) 981 7233

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Home
About
Upcoming Events
MAKE A DONATION
Policies & Procedures
Document Center
Schedule an Appointment
Request a Referral
Community Resources
Upcoming Board Meetings
Board of Directors

First Name*

Last name*

Your email*

Phone Number

Tell us your situation: *

What Types of Programs or Resources are you seeking?*

SNAP/MEDICAID Assistance

Food Pantry's

Get Covered Illinois - Enrollment Assistance

HIV/STD Testing

LIHEAP

Court Advocacy for Orders of Protection

Notary Request

Legal Aid Assistance

Primary Care Physician Referral

Addiction Recovery

NARCAN

Harm Reduction

Shelter / Permanent Housing

Counseling

Mental Health Programs

Support Groups

Medical Power of Attorney

Employment Agencies

Suicide Prevention

Substance Abuse

How soon do you need to be connected?*

CIRC provides referral services only. We do not guarantee contact, services, or outcomes from any partner or provider. CIRC is not liable if another party does not respond or assist. We have limited resources and may prioritize or decline cases. By submitting, you agree to these terms and understand CIRC is not a medical, legal, or clinical service provider.

I agree

I disagree

Individuals may submit this form at any time. A CIRC Board Member will review the request and respond within 24 hours to help direct you to available community resources and next steps.

Central Illinois Resource Center Inc

Empowering lives through advocacy and support.

Support Info:

info@centralillinoisresourcecenter.org
centralillinoisresourcecenter@gmail.com

+1 (309) 981 7233

Central Illinois Resource Center Inc is an Illinois Not-for-Profit Corporation with an Active 501(c)3 Status under the Internal Revenue Code. Central Illinois Resource Center Inc operates for Community Benefit.