PLS Trans & Queer Health Insurance Interest Form

This is not a form to request legal services. If you are looking for legal services, call our front desk at 828-253-0406. 

Our services are free of charge to you. We may help you use your personal information to apply for health insurance but we will never ask for any type of credit card information. Any information you share with us is protected and will not be shared without your consent. If you are concerned about scams or fraud, call us directly at 828-210-3404 so you know who you are talking to. Your privacy and protection is important to us. You can read our Privacy Notice on-line here.