Refer a Friend for Our Friendship Programs

Use the form below to refer someone for Phone Companions or Visiting Companions. Please make sure they meet the eligibility requirements before submitting.

  • The person you’re referring is 62 or older

  • They would enjoy receiving friendly phone calls from a trained volunteer

  • They’ve given you permission to share their contact information

  • This is not a dementia care or emergency service

  • The person you’re referring is 70 or older

  • They are open to having in-person visits from a volunteer

  • They’ve given you permission to share their contact information

  • This is not a dementia care or emergency service

To refer a friend, complete the form below and select the program you’re recommending them for under the field labeled “Service requested.”

Do you want to join? Use the join form.


Participant's Information




include building/facility, unit number 












Referrer's Information


Please share your contact information with us so we can reach you with questions and let you know when the participant is matched.















please include relevant details about physical health and cognitive well-being.


Terms and Conditions

Hidden fields