Apply for services

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Please apply for all services at one time. 

If you are submitting this application for someone other than yourself, the applicant must be aware that a request for services is being made on their behalf. An unauthorized submission without the client’s permission cannot be processed.

 

Items you are able to request:

 
  • Home delivered meals

  • Congregate meals (at senior centers)

  • Transportation to senior centers and nutrition sites

  • Senior center activities

  • Personal care

  • Homemaker services

  • Caregiver assistance

  • Material aid (adult diapers or nutritional supplements)

  • Respite care at home

  • Respite care at day health center

  • JCOA Cares (regular phone calls to isolated seniors)

 

Submit A Request


You can complete the on line form below Or you may download the Request Form (link above),  print, complete and email it to adrc@jcoa.net.

 

For all other questions or to obtain assistance with senior employment, utilities, senior centers, legal services, medical alert, prescription drugs, Medicare, Medicaid, Health Insurance, or other benefits contact the Aging & Disability Resource Center (ADRC) at (504) 207-4690.

 
 
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Contact the Aging and Disability Resource Center for additional help obtaining:

 
  • Senior employment opportunities

  • Utility assistance

  • Legal services

  • Senior Center activities

  • Medical Alert

  • Health Insurance (SHIP – Senior Health Insurance Information Program)

  • Understanding Medicare

  • Medicaid

  • SenioRx Prescription Drug Assistance

  • Public Benefits