Referral sources can request the following type of services for a Consumer: Information, Home Delivered Meals, In-home Services, Adult Day Services, Caregiver Support, Ombudsman, Long Term Care Facilities, or OTHER.
What Information is Required?
When you request services from the Montgomery County Office of Senior Services, we require the following information:
Name, complete address and phone number of consumer and spouse
Date of birth, consumer SSN
Living arrangements, marital status, names and phone numbers of contact person(s), physician, demographic information, etc.
Reason for referral; type(s) of service(s) being requested
Medical diagnosis, including cognitive status
Ability to perform tasks such as bathing, dressing, preparation of meals, etc.
Information on income and assets for consumer and spouse
We will be able to process your request when we obtain the above information.
Please allow time for staff to follow-up as we receive a large volume of calls and requests daily. We appreciate your cooperation and look forward to working with you. Feel free to call610-278-3601 if you have any questions.