Instructions for form

Services you are willing to Provide:  Our web site program does not have checkboxes.  Please choose all that apply from this list and enter the numbers below in the field called - "Services you are willing to provide":

1.  Driving a patient to doctors' appointments.
2. Preparing meals for a patient.
3. Helping patients with tasks such as grocery shopping, running errands, paying bills, etc.
4. Visiting homebound patients or providing relief to care givers.
5. Helping with publicity for the Foundation.
6. Helping with fundraising for the Foundation.
7. Helping with administrative tasks for the Foundation, such as filing, typing, running errands, etc.
8. Researching issues impacting the Foundation or its clients.
9. CPR.
10. Blood initiative.
11. Medical care for patients
12. Training