CareSource Life Services^® Request Info

If you would like more information about CareSource Life Services, please fill out the form below. You can receive information in different ways depending on what is most convenient for you, with no obligation to enroll.

You also can reach us at 1-844-607-2828 or by email at LifeServicesGeorgia@CareSource.com. We are open Monday through Friday, 8 a.m. – 5 p.m. We look forward to hearing from you!

First Name:

Last Name:

Address:

City:

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ZIP Code:

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I am interested in CareSource Life Services as a:

CareSource Member Employer Community Organization

I would like to receive email from CareSource.
I would like a CareSource representative to call me.
I would like to receive information about CareSource Life Services through the mail.

I would like to learn more about transportation (rides) through CareSource Life Services for food, jobs, or education.

CareSource Life Services® Request Info

This is NOT an Enrollment Application

CareSource Life Services^® Request Info