Client Referral Form

Client Information


The goal of RurAL CAP's Senior Companion Program...
Connection to Community Agency In order to receive a Senior Companion volunteer, our agency tries partner with another non-profit or government agency that also serves the client. Is there another agency that the client receives services from that RurAL CAP may be able to partner with? Example: Meals on Wheels program, Senior Center, Tribe, Health post etc.