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Ryan White Program Interest Form

Ryan White Program

Ryan White Program

Please complete this form to express interest in receiving services and a member of our team will contact you to review eligibility.

Name

Email

Phone

Which services are you interested in?

Medical Services

Oral Health

Psychosocial Support Groups

Individual Therapy

Mental Health and Psychiatry

Substance Abuse Treatment

If you are human, leave this field blank.

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Locations

517 W. Grace Street
Richmond, VA 23220
(804) 783-2505

180 E. Belt Boulevard
Richmond, VA 23224
(804) 292-3011

Our Mission

A guiding principle of Daily Planet Health Services is our belief that ALL should have access to quality health services regardless of their financial, housing, citizenship, or insurance status. Our philosophy is that healthcare is a right for all and not a privilege for the few.

Important

This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

DPHS is a member of the National Health Service Corps.

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Language assistance services provided at the health center.

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