PPL

Contact Us Form

Making Self-Directed Home Care Easier For All
Contact Us Form

Complete the below inquiry form with any questions or queries you might have regarding PPL, self-directed home care or needs within your existing program.

Note: Please keep in mind that communications via email over the internet are secure to the best of our ability. Please do not include any Personal Identifying information such as your birth date, SSN, or personal medical information in the form submission below. Communications via our publicpartnerships.com website is only a precursor to the communications you may have with our Customer Service Agents in the future.

Contact Us

First Name *

Last Name *

Phone

Email *

Which US State do you (or the person you are inquiring for) reside in? *

If you (of the person you're inquiring for) have an ID number that you know is affiliated with PPL, please write it below.

Thank you for helping us understand your personal situation and narrow down your options for self-direction care, please write any remaining question(s) and/or a brief description of the assistance you may need. *

I agree that I have not included any Personally Identifiable Information or protected health information in the comment field. *

Consent for storing submitted data *

Yes, I give permission to store and process my data

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