Helping Neighbors - Assistance Needed

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The Helping Neighbors program is designed to help seniors and those with underlying health conditions stay home to avoid having health compromised by the Coronavirus. If you are home-bound/quarantined and need assistance, please fill out the following form. A friendly Bay Aging staff member will contact you with volunteer(s) willing to help in your county.
Questions or for additional information, please email Lcobb@bayaging.org or call 800-493-0238

**If you would like to volunteer, please fill out this form: https://forms.gle/N1hQWJ8QuS45cEFX9

Name *

Phone Number *

E-mail

I need help with: *

I would like restaurant meals delivered

Picking up my prescriptions (I understand that I will have to contact the pharmacy to let them know that I give the volunteer permission to do this on my behalf.)

Pick up/deliver groceries (I understand that I will be responsible to pay for the groceries)

I would like to enroll into the Bay Aging Meals on Wheels program

Other:

Required

If you would like meals, please list any dietary restrictions.

I live in the following county: *

Essex

Mathews

Middlesex

Gloucester

Lancaster

Northumberland

Westmoreland

King & Queen

King William

Richmond Co.

Additional comments

I understand that this is a community service that Bay Aging is organizing for information purposes only. This is strictly a VOLUNTEER service and reimbursements of any kind will not be provided by Bay Aging. Bay Aging has not conducted and will not conduct any background checks or any other investigations pertaining to the volunteers providing these services or the recipients. Participants should refer to CDC guidelines and use these services at their discretion. *

I agree

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