Caregiving is hard.
Seniorlink can help.

Seniorlink has been serving family caregivers for over 20 years, and 98% of participants say they would recommend our program to other caregivers.

Seniorlink's SFC program supports caregivers by providing:

A tax-free financial stipend
A professional care coach to help you understand your loved one’s condition
Ongoing support including useful care tips and local resources
Access to a secure mobile app to connect you with your coach

Remember, each SFC provider program is different, so please make sure to ask for Seniorlink by name.

Please complete the form below and you will be contacted by a Care Advisor within one (1) business day.

Is the person you care for eligible for Medicaid? * Care Recipient First Name *

The name of the person in need of care, as it appears on the Medicaid card.

Care Recipient Last Name *

The name of the person in need of care, as it appears on the Medicaid card.

Care Recipient Date of Birth (Optional) Care Recipient Medicaid ID Number (Optional)

A 12 digit numeric code usually beginning with 111 or 222

Click for example

Does the person you care for receive services through the Elderly and Disabled Waiver Program now? *

Is the person in need of care currently in the CCSP or Source Program?

Do you currently live with the person you're caring for? * How are you related to the person you're caring for? *

If you do not see your relation listed please select “Other” and continue filling out the form. The shown list is not an exclusive list of relationships eligible for our program.

Does the person receiving care need help with the following activities? (Optional)
Bathing and Personal Hygiene
Toileting
Dressing
Transferring
Ambulation
Eating

How did you hear about Seniorlink? *

By submitting this form, you agree to allow Seniorlink to verify the information that you provide, including information about consumer eligibility, and to contact you about your service inquiry. Seniorlink is a national provider of services, support and technology that engages family caregivers and does not distribute or sell your information. Please read our Terms of Use and our Website Privacy Policy.

Caregiving is hard.Seniorlink can help.

Caregiving is hard.
Seniorlink can help.