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- 313-922-7227
- info@yesyoucan2.com
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We’d love to hear from you! For general inquiries, please use our contact form, or for faster assistance, connect with our webchat agent.
Service Areas
Detroit Metro Area | Oakland | Wayne | Macomb | Kent | Jackson
Main Office
26677 W 12 Mile Rd.
Southfield, MI 48034
Email us
info@yesyoucan2.com
Call us
Phone: 313-922-7227
Ready to Get Started?
Please download, complete, and fax the forms below to 855-287-5729.
Adult Services Application
The client must complete and sign a DHS Adult Services Application form to receive home help services. An authorized representative or another person acting for the client may sign the form if the client is either:
- Incapacitated
- Has a court-appointed guardian
A client unable to write may sign with an X, witnessed by one other person (for example, a relative or department staff).
Medical Needs Form
The Medical Needs form must be signed and dated by a medical professional certifying a medical need for personal care services.
The medical professional must be an enrolled Medicaid provider and hold one of the following professional licenses:
- Physician (MD or DO)
- Physician Assistant
- Nurse Practitioner
- Occupational Therapist
- Physical Therapist
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Book An Appointment With Us
Our Company
Service Areas
- Detroit Metro Area | Oakland | Wayne | Macomb | Kent | Jackson
Contact Us
- 26677 W 12 Mile Rd, Southfield, MI 48034
- 313-922-7227
- 855-287-5729
- info@yesyoucan2.com