Douglas County Senior Services, Inc.
Information, Assistance & Referral Checklist
Please fill out the following form and click the submit button.
Would any of the following free services be helpful to you?
Would you like more information on or a referral for.....
Help in the home for household chores or grocery shopping
Personal care in the home (ex. bath aid, medication management)
Mental Health Transportation Case management Food Assistance Housing (senior apartments, home improvement/weatherization, subsidies)
Assistive technology (wheelchairs, hearing aids, bathing equipment) Senior Activities (classes, trips/tours, clubs, games, special events) Friendly Visitor Volunteer Opportunities Senior Health Insurance Counseling (Medicare, Medicaid, etc.)
Legal Assistance
911 emergency cell phones
Caregiver Support Group
Tax Assistance
Monthly Newsletter for Douglas County Seniors (60 & Better)
Please fill out your contact information below.
Name
Address
City, State
Please tell us the best way for us to contact you:
Any specific questions or comments? Please state below.
By sending us this electronic mail message, you may be sending us personal information (like name, address, phone, e-mail address). Your information will be used to resolve or respond to the subject matter of your inquiry. Your personal information will not be sold or rented to others.
Don't want to fill it out online?
Download and print it here and send, fax or drop off to:
DCSS
745 Vermont
Lawrence, KS 66044
FAX
(785) 842-0562,
ATTN Tina
