Make a Referral

In order to stay as independent as possible, do you or someone you know need help with any of the following services:

  • Home Repairs
  • Nutrition
  • Transportation
  • Caregiver Support
  • Long-Term Planning
  • Personal Care
  • Safety Monitoring
  • Homemaking
  • Prescription Drug Assistance
  • Home Delivered Meals
  • Home Energy Assistance

If you answered yes to any of these questions, please download our INFORMATION REFERRAL FORM to make a referral. 

If you have a need that isn’t listed above, please call our agency to learn more about the resources that are available to you.

Anyone can submit a referral form whether it be the individuals in need, caregivers, discharge planners or other healthcare professionals. This form is designed to refer individuals to the Area Agency on Aging Region 9 Aging and Disability Resource Network. 

Once completed, simply send the information referral form to us by using one of the methods below.

Email –

Fax – 740.439.3704

Mail – 710 Wheeling Ave. Cambridge, Ohio 43725