MCH’s ICS staff will always respect your privacy and will not share your information with anyone without your permission. Your information is confidential and will only be made available to a certified counselor or staff member of ICS as necessary to assist you. See our privacy policy for more information.

  • Note: Please do not send personal identifiable information such as your Social Security Number with this form. If that information is necessary to assist you we will ask for it at your scheduled appointment.
  • To schedule an appointment call the Cover Missouri Call Center toll-free at 1-800-466-3213.

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