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