Contact

Have a question? We'd love to hear from you. Fill out the form below and we will get back to you as soon as possible. Thank you!

First Name

Last Name

Write a message

By checking this box, I consent to receive SMS/text messages from My Choice Programs at the phone number I provided. Messages may include conversational messages, appointment or meeting reminders, scheduling communications, service-related reminders, and follow-up communications. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out. Reply HELP for assistance. Mobile opt-in information and phone numbers collected for SMS communication purposes will not be shared with third parties or affiliates for marketing purposes. Please review our Privacy Policy and SMS Terms & Conditions.View terms of use

Privacy Notice: Please do not submit Social Security numbers, financial-account information, detailed medical information, medication lists, DDS referral materials, service plans, incident reports, or urgent matters through this form. This form is for general inquiries only. Information submitted through this form will be used to respond to your inquiry and may be routed to appropriate My Choice Programs staff. For confidential participant, referral, or service-related information, please use the encrypted email process or other secure method designated by My Choice Programs. See our Privacy Policy and SMS Terms & Conditions.Privacy Policy

Thank you. We received your inquiry. Please remember that this form is not for emergencies, DDS referral packets, medical information, service plans, incident reports, or other confidential participant records. If you need to send confidential service-related information, please use the encrypted email process or other secure method designated by My Choice Programs.