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 inform you and keep you informed as we continue recruiting and training new volunteers. We do our best to make the connection as fast as possible. As always, this is a 100% free service.
At this time, our service area is limited to Washington State. While our long-term goal is to expand nationwide eventually, we are currently limited by licensing and insurance requirements to serving residents only in Washington State. Not from Washington? If you are interested in starting a program in your area, you are welcome to contact us for additional information.
Please fill out and save the PDF below to your computer. Then, 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.