Great Lawrence Family Health Center
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      • Women’s Health
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      • Office-Based Addiction Treatment
      • Healthy Living
      • Community-Based Services
    • For Patients
      • Welcome to GLFHC
      • Pre-Registration Process / Proceso de Pre-Registración
      • Find a Doctor
      • Patient Feedback
      • Community Resources
    • Pharmacy
      • Retail Pharmacy
      • Clinical Pharmacy Services
      • Pharmacy Residency Program
    • Locations & Hours
      • Full List of Locations
      • Methuen Family Health Center
      • Haverhill Family Health Center
      • School-Based Health Centers
    • Residency
    • AHEC
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      • News
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      • Publications
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      • Join Our Team
      • Sign Up for Updates
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In the last 12 months, have you been threatened with eviction or foreclosure or been forced to move? Or, are you worried that this is a risk in the next 3 months?

Are you worried about the conditions of your housing (infestation, mold, overdue repairs)?

Do you ever have trouble making ends meet at the end of the month?

In the last 12 months, have you worried that your food would run out before you got money to buy more?

In the last 12 months, has the food you bought not lasted and there was no money to buy more?

How often do you need to have someone help you when you read instructions, pamphlets, or other written materials from your doctor or pharmacy?

Are you concerned about your family's health and stability for any immigration-related reason?

In the last 12 months, have you or anyone in your family missed a medical appointment due to lack of transportation?

In the past 12 months has the electric, gas, oil or Water Company threatened to shut off services in your home?

Have you been hit, kicked, punched, or otherwise hurt by someone in the last year?

How often do you feel lonely or isolated from those around you?

Are you interested in receiving a handout with further information about resources?

Are you interested in being referred to a community health worker to discuss further?

If you are a PARENT filling this out for a child, do these answers also apply to you?

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Public Statement

This health center is a Health Center Program grantee under 42 USC 254b and a deemed Public Health Service employer under 42 USC 233 (g)-(n). No one will be denied access to services at GLFHC due to inability to pay; there is a discounted/sliding fee schedule available based on family size and income.

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Greater Lawrence Family Health Center
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