Senior Services

Information Request Form

Please complete this form to be contacted about our Senior programs and services. A member of our team will contact you as soon as possible.

Your privacy is important to us.

All information is confidential and secure.

What to Expect

Submit Form

Complete this form with your information and preferences.

We’ll Be in Touch

Our team will reach out as soon as possible to tell you all about our senior services and to get you signed up.

Attend our Youth Events and Services

Visit us weekly for ongoing events and programs.

Things to Know

  • This form is not an appointment. It is a request for more information.
  • Completing this form does not guarantee immediate services.
  • There is no cost to submit this form
  • All information is kept confidential and secure.

Need Support Immediately?

This is not a crisis center.

If you are experiencing a mental health crisis, please call or text:

1-8-777-565-8860

Trans Lifeline

844-844-5544

A3 – Contra Costa Crisis Response

Text 'HOPE' to 20121

Contra Costa Crisis Center

211

Contra Costa Crisis Information Line

1-800-846-1652

Behavioral Health Access Line

925-313-6771

HIV Case Management

925-313-6117

HIV Testing & PReP

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