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Call the Helpline:
1-800-963-5337
Calling from outside the area:
727-217-8111
About Us
Accountability, Data & Impact
Advisory Council
Board of Directors
Services
Information & Access
Caregiver Support
In-Home & Community Support
Nutrition & Wellness
Preparing for Disasters
Get Help
Get Involved
Donate
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Volunteer
Our Network
2026 DOEA Programs and Services Handbook
Events
All Events
RFP Affordable Senior Housing Developer
RFP Audit Services
2026 Annual Luncheon
Advisory Council Meetings
Board of Directors Meetings
Health & Wellness Classes
Shine
News & Stories
About Us
Accountability, Data & Impact
Advisory Council
Board of Directors
Services
Information & Access
Caregiver Support
In-Home & Community Support
Nutrition & Wellness
Preparing for Disasters
Get Help
Get Involved
Donate
Join Our team
Volunteer
Our Network
2026 DOEA Programs and Services Handbook
Events
All Events
RFP Affordable Senior Housing Developer
RFP Audit Services
2026 Annual Luncheon
Advisory Council Meetings
Board of Directors Meetings
Health & Wellness Classes
Shine
News & Stories
Donate
Contact the helpline
Contact the Helpline
First Name
*
Last Name
*
Email
*
Phone Number
Mobile Number
Are you the individual in need of assistance, or are you a caregiver requesting assistance for someone else?
*
I need assistance
I am a caregiver ***
I am a professional ***
Client gave consent
Yes
No
***Caregiver / Professional Name***
Please choose one:
I agree to receive SMS messages
I do not agree to receive SMS messages
Age of individual in need of assistance
County of Residence of Individual in Need: required
*
I am looking for information or assistance on:
Caregiver information or support
Community resources for seniors or disabled adults – bathing/personal care
Community resources for seniors or disabled adults – food/meals
Community resources for seniors or disabled adults – homemaker
Community resources for seniors or disabled adults –housing/ALF
Community resources for seniors or disabled adults – Legal assistance
Community resources for seniors or disabled adults – Medical resources
Community resources for seniors or disabled adults –Mental Health/Counseling
Community resources for seniors or disabled adults –Transportation
Community resources for seniors or disabled adults –Utility Bill assistance
Financial assistance
Medicare information and/or prescription assistance (SHINE)
Screening for government funded programs to assist seniors
Any additional information we should know:
(For privacy reasons, please do not include any sensitive health information on this form)
Submit
If you are human, leave this field blank.