In-home Assessments
Counseling Services
Educational Activities
Telephone Support Groups
Caregiver Flex Account
Events
Program Eligibility Criteria
Registration Form
Name (First M. Last Suffix)
Address (Number Street, Unit, Zipcode)
Email Address
Confirm Email Address
In which Ward do you reside?
Ward 1
Ward 2
Ward 3
Ward 4
Ward 5
Ward 6
Ward 7
Ward 8
Daytime Telephone Number
Evening Telephone Number
Cellular Telephone Number
When is the best time to contact you?
Before 9AM
Between 9AM - 12PM
Between 12PM - 3PM
Between 3PM - 5PM
Anytime (No Preference)
In which Ward does the elder you care for live?
Ward 1
Ward 2
Ward 3
Ward 4
Ward 5
Ward 6
Ward 7
Ward 8
Please put me on your email alert list to
receive information about upcoming events
Yes
No
Part of the Senior Service Network Supported by the D.C. Office on Aging