When you or your family apply for citizenship, or seek Permanent Residency or a Green Card, you are required to obtain an immigration physical prior to approval of your application. A medical examination is also necessary as a part of the application process for an alien applying for adjustment of status. The purpose of the medical examination is to evaluate the applicant’s health status and to determine if they have any conditions that might preclude a change in status. The results of the examination will be provided to an Immigration Officer and may also be shared with health departments and other public health or cooperating medical authorities. Immigration physicals must be completed by a Designated Civil Surgeon to ensure the exam is valid. An immigration physical typically consists of the following: - A physical examination - Review of Vaccine Records - Tuberculosis screening – TB Gold blood test. - Syphilis test – RPR blood test - Gonorrhea blood test - Varicella & MMR titers - Vaccine administration – Flu (in season), Tetanus (Additional vaccines may be required based on your test results) - Completed I-693 Form.

Provides immigration and legal services to low and moderate income refugees and immigrants.

Provides a service for individuals to locate a detainee who is currently in ICE custody or who has been in U.S. Customs and Border Protection’s custody for more than 48 hours.

Evaluates cases related to: food stamp overpayment; food stamps being denied, terminated, or delayed; or a cash benefit being denied/terminated AND the benefit amount is $0; Ohio Works First (OWF) cash assistance/childcare vouchers/childcare vouchers; Prevention Retention Contingency (PRC) or other state-local income maintenance overpayments, OWF cash assistance/childcare vouchers/PRC or other state/local income maintenance being denied/terminated/or delayed; Child disability case overpayments; child disability case where applicant has received notice proposing termination of benefits and an appeal has been requested; Social Security or Supplemental Security Insurance overpayments; Denial/termination/application delay of Medicaid or Medicare coverage or services, or problems with Medicaid or Medicare for currently or previously incarcerated individuals; Medical and nursing home collection; Emergency cases where there is a problem communicating with county Job & Family Services (CJFS) regarding benefits or application; Public benefits case involving applicant with a mental impairment, language or literacy barrier, or other issue; Veteran benefits overpayments, veteran benefits being denied/terminated, or change to discharge status.

Provides mental health and substance abuse counseling services for immigrants (new Americans). Service aims to assist with independent skills development in self advocacy, self esteem, system navigation and culture adaptations. Peer empowerment and support services are also available.

Provides household goods, clothing, shoes, cleaning supplies, baby items. Items available depend on what the agency has on hand. Occasionally may have large appliances such as washers, dryers, stoves, and refrigerators.

Provides help with immigration issues, including legal assistance. Offers job resume preparation, advice on workplace attire, and interviewing skills.

Assist immigrants and refugees authorized to work in the United States with job placement. Provides career coaching and counseling, skills assessment, help in identifying career goals, and creating a resume.

Provides a State and Federally funded medical care benefit (a form of Medicaid) to low-income foreign nationals, immigrants, refugees/entrants/asylees, permanent residents and undocumented persons who are hospitalized for childbirth or experience an emergency medical condition during their stay in the county.

Provides predictive mental health screening for all newly resettled clients. Program staff provide home-based follow up and supportive strengths-based case management to address health and wellness needs.

Offers rent payment assistance to refugee and immigrant participants.

Provides a State and Federally funded medical care benefit (a form of Medicaid) to foreign nationals, immigrants, refugees/entrants/asylees, permanent residents and undocumented persons who are hospitalized for childbirth or experience an emergency medical condition during their stay in the County, and who have limited resources. If eligibility is satisfied, the hospital will be paid directly for the care received. Other providers whose services are directly connected to the emergency event may also be paid, as determined on a case-by-case basis.

Provides multiple services to help integrate immigrants and refugees into society by assisting them with job search, interview prep, resume writing assistance, and more.

Provides mediation and conflict resolution to tenants who are having a conflict or other issues with their landlord. Will help the client understand their rights as a tenant and advise on how to resolve the situation.

Assists immigrants with obtaining short-term case management, accurate up-to-date information on new laws and procedures, and online green card renewals. Provides additional support services including: - Citizenship classes to prepare eligible immigrants for the United States Citizen and Immigration Services (USCIS) citizenship exam. - English instruction in preparation for formal English for Speakers of Other Languages (ESOL) classes. - Mobile Mexican consulate visits (for consular services such as passport renewals and consular IDs). - Clinics and special events (immunization fairs, legal clinics, know your rights information). - Coordination of services with Lorain County Free Clinic. - Referrals to American Immigration Lawyers Association (AILA). - Referrals to constituent services from congressional representatives and government agencies. - Advocacy and educations with Lorain Ohio Immigrants Rights Association (LOIRA).

Evaluates cases related to: food stamp overpayment; food stamps being denied, terminated, or delayed; or a cash benefit being denied/terminated AND the benefit amount is $0; Ohio Works First (OWF) cash assistance/childcare vouchers/childcare vouchers; Prevention Retention Contingency (PRC) or other state-local income maintenance overpayments, OWF cash assistance/childcare vouchers/PRC or other state/local income maintenance being denied/terminated/or delayed; Child disability case overpayments; child disability case where applicant has received notice proposing termination of benefits and an appeal has been requested; Social Security or Supplemental Security Insurance overpayments; Denial/termination/application delay of Medicaid or Medicare coverage or services, or problems with Medicaid or Medicare for currently or previously incarcerated individuals; Medical and nursing home collection; Emergency cases where there is a problem communicating with county Job & Family Services (CJFS) regarding benefits or application; Public benefits case involving applicant with a mental impairment, language or literacy barrier, or other issue; Veteran benefits overpayments, veteran benefits being denied/terminated, or change to discharge status.

Offers guidance, instruction, and training for daily life activities for immigrants new to region. - Provides assistance with navigating various systems, teaching minor home repair, money management, and completing paperwork such as immigration forms and obtaining a driver's license. - Assists with obtaining appropriate clothing, basic household items, and accessing programs that provide material assistance. - Assists with school enrollments and in-home English tutoring and small group instruction for adults.

The program is designed to help prevent child abuse and neglect in refugee and immigrant families through parenting instruction and to assist these families in successfully raising children in United States. Services are provided home and center based. Classes are provided mainly in Spanish and Somali.

Offers assistance to refugees and immigrants as they adjust to their new home and community. Provides English language classes to immigrants whose first language is not English. Childcare may be provided during classes. Also provides citizenship assistance to prepare individuals for the US Citizenship exam. Resume building and job search assistance are offered as well.

Provides legal service for victims of most crimes, including but not limited to victims of: - Theft. - Property crimes such as robbery, burglary, and vandalism. - Elder fraud and abuse. - Hate and bias crimes. - Domestic violence, sexual assault, dating violence, stalking, and sex trafficking. Legal services for victims of crime include: - Consultations. - Explanation of victims' rights. - Help filing a police report or talking to police. - Representation of victims throughout a criminal prosecution. - Filing protective orders. - Visas for human trafficking and victims of crime. - Asylum. - Aid in seeking repayment for damages that occurred as a result of a crime.

Provides educational workshops for immigrants that deal with the essentials of money management, asset building, and financial independence.

Focus on assisting immigrants and refugees with rent assistance but will help anyone that meets eligibility requirements.

Provide low-cost legal consultations and comprehensive services to low- and moderate-income immigrants and refugees and their family members. Consults are available for the following: - Consular processing; - Applying for U.S. citizenship or Naturalization certificate; - Applying for or renewing a green card; - Applying for Employment Authorization Document; - Applying for travel documents/reentry permits; - Immigration case follow-up with USCIS representation. - Family legal services such as divorce, dissolution, and custody. - Will preparation.

Provides first-time homebuyer counseling, education, and guidance.

Provides a State and Federally funded medical care benefit (a form of Medicaid) to low-income foreign nationals, immigrants, refugees/entrants/asylees, permanent residents and undocumented persons who are hospitalized for childbirth or experience an emergency medical condition during their stay in the county.