With the help of our supportive partners, Docare foundation will be able to assist anyone in need of food, shelter and empowerment

Assistance Request Form

If you are experiencing an emergency, please call 911

If you are experiencing an urgent need unrelated to a medical emergency or COVID-19 and would like to be connected to our services, please complete the form below, and one of our team members will contact you. The information you enter is completely confidential and will only be shared in order to connect you to services.
If you are a veteran or military-connected family member, click here to get help.
Please use this form only to request services for yourself, or a child (under 18 years old) or an adult for whom you have legal guardianship. Consent submitted through this form should be signed by the person who would be receiving services or signed by their parent or legal guardian only.