Refer a Client

Elder Orphan Care exists to bring hope and help to older neighbors in need.

All referrals to our "Safe and Loved at Home" program will be required to follow our application process including an occupational therapy-based home safety assessment. We are currently only serving clients who live in their own homes (rent or own) in Cabarrus and Rowan counties of North Carolina.

Individuals who qualify may receive one or more of the following services:

  • Minor home safety modifications
  • Falls prevention education
  • Basic needs supply: incontinence; hygiene; household
  • Medical and or adaptive equipment as available
  • Buddy program
  • "You are Remembered" greeting card program
  • Socialization and purposeful activity opportunities
QUALIFICATIONS
  • Age 60+ (lives in Rowan or Cabarrus County of North Carolina)
  • Lives alone or with very limited support
  • Income < 150% of established 2023 federal poverty level
    • Single - $1,823 gross monthly
    • Couple - $2465 gross monthly
  • Resources (ex: retirement account, stocks, bonds, savings, and mutual funds) at or below
    • Single - $9090*
    • Couple - $13630*

*Per limits established by Medicare QI programs

VERIFICATION REQUIREMENTS
  • Photo ID

Income Verification

  • Current Utility Bills (water, electric and or gas, phone)
  • Proof of all Income
  • Proof of rent or mortgage
  • Medical bills

NOTE: If applicant currently receives Medicaid, a copy of Medicaid card is all that is necessary for income verification.

To refer a client to us, please contact Janna Syester by email or phone at 704-516-1522.

If you prefer to download and print the form, you can download it below.

Download Referral Form

Mail completed forms to:

Elder Orphan Care
349-L Copperfield Blvd
Box 211
Concord, NC 28025