Client Intake Form

If you are need financial assistance with a bill, please email Kimberly's Touch a copy.

Kimberlystouch@kimberlystouch.org

No money is exchanged. The organization takes care of the invoice and send you the confirmation number. Everything is then place in a file.

To fill out the Client intake form for assistance just click on the button below and it will then send you  to the page.

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