REFER A CLIENT

Elder Orphan Care exists to bring hope and help to older neighbors in need. All referrals will be required to follow our application process including an occupational therapy-based home safety assessment. Qualifying individuals may qualify for one or more of the following services: Minor home safety modifications · falls prevention education · Adapted tablet program · Mobile pantry/basic needs · Medical equipment and supplies as available · Buddy program

QUALIFICATIONS
• Age 60+ (lives in Rowan or Cabarrus County)
• Lives alone or with very limited support
• Income < 150% of established 2021 federal poverty level
- Single - $1,610 gross monthly
- Couple - $1814 gross monthly
• Resources (ex: retirement account, stocks, bonds, savings, and mutual funds) at or below
- Single - $1,469*
- Couple - $1,980*
*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.

Or if you prefer to download and print the form, CLICK HERE. You can mail printed forms to us at 349-L Copperfield Blvd. Box 211, Concord, NC 28025.