Please fill out our request form and tell us a little about yourself or the senior you are requesting a visitor for. We will look to see if we have a volunteer in your area and if we do we can make the match right away. If we don’t have a volunteer, we will let you know and keep you informed as we continue to recruit and train new volunteers. We do our best to make the connection as fast as possible. As always, this is a 100% free service.
Please fill out and save the PDF below to your computer. Attach and email the completed form to email@example.com. You may also print and mail the form to the address listed at the bottom of the form.