We apologize for any unfortunate experience you've had. We're here to help. Please use the form below to file an official service concern or complaint and we will do what we can to resolve this issue.
Required Field *
Client's First Name *
Client's Last Name *
Client's Phone Number *
Client's Email Address *
Client's Street Address *
Client's City *
Client's State *
Are you the client filling out this form? *
Yes, I'm also the client.No, I'm filling the form out for the client.
Your First Name *
Your Last Name *
Your Phone Number *
Your Email Address *
Please list any staff members involved. *
Please detail the concern/complaint and any steps taken to resolve it prior to this formal complaint. *
How can we help resolve this concern/complaint? *
Additional Info or Questions
We serve Franklin County and the surrounding areas.
General Contact Form
May provide homemaker personal care (HPC) transportation and may also complete money management with the appropriate training.
Would be limited to providing transportation to and from appointments, grocery shopping, day programs, etc.
*These are brief examples of the type of work involved per service area. Job duties may vary depending on our clients’ specific needs. For more information about job services, please view our services page.