Become a Client

Becoming a client involves a few simple but necessary steps. The process begins with an intake interview over the phone. This not only allows us to determine the need for service, but also to collect other important information such as emergency contact numbers.

During the interview, our Program Coordinator determines if an individual meets certain eligibility criteria. Factors taken into consideration include the following:

  • Is the individual elderly or disabled?
  • Is he/she unable to utilize public transportation?
  • Is he/she on a reasonable fixed income?
  • Does he/she have medically intensive needs?
  • Can he/she be transported safely by a volunteer with limited medical training?
  • Is the client ambulatory (without a wheelchair)?

Our goal is to determine if our volunteers can safely provide services within the scope of what our agency provides. Determination to provide services is made on a case-by-case basis.

Upon completion of the phone interview, an information packet including a client agreement form is mailed. The client is asked to read over the content, sign and return the agreement form to our office. Once the completed paperwork is received, the client can begin scheduling for services with the Program Coordinator. Because services are provided by volunteers, it is necessary to contact the office at least two to three weeks prior to needing assistance.

The CareGivers serves clients in Alton, Amherst, Auburn, Bedford, Candia, Goffstown, Hooksett, Hollis, Hudson, Litchfield, Manchester, Merrimack, Milford, Nashua, and Wolfeboro (Caring Rides only).

Client Information Request Form

Please fill out this form and click the 'Submit' button. We will contact you to schedule an interview. Fields with an asterisk (*) are required.