Caregiver Outreach Program Referral

United Way of North Carolina’s NC 211 is partnering with AARP to support caregivers through the Caregiver Outreach Program. This program offers one-on-one phone calls with a dedicated and trained NC 211 Navigator that provides;

  • Supportive listening
  • Referrals to resources based on your request and needs
  • Follow up calls regarding referrals to discuss any issues or additional needs
  • Calls arranged to meet your schedule

Please fill out the form below. Once submitted, a Navigator will reach out to the associated caregiver to complete an intake appointment. If you would like assistance please call 2-1-1 or 1-888-892-1162 and request the Caregiver Outreach Program.

    Caregiver's Basic Information

    Situational Information

    Demographic Information

    Referrer Information