Thanks for submitting your information!

We are delighted to inform you that, based on the information provided, you were eligible for the ElliQ program in Broward County.

Please complete the program enrollment form below or call us at (844) 944-3554, and one of our team members will assist you with completing the application:

Once submitted, a staff member will contact you in the coming weeks to let you know if and when an ElliQ is available to complete your application for the program.

If you have any questions or would like to learn more about the ElliQ Program, please feel free to contact us at or (844) 944-3554.

Learn more about ElliQ: