New Client Request

Are you or someone you care for interested in becoming a client of Essential Services LLC? To get started, please take a moment to complete the form below. If you have any questions, please call us at (503)857-0074.

For more information check out Housing People:

Name

Date

Phone Number

Street Address

City

ZIP / Postal Code

State

Relationship to Client

What services are you interested in?

Name of current case manager?

Additional comments or questions?