Caregiver Connections: Shared Resources - Adult Foster Care of the North Shore

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Name(Required)
First Last
Date of Birth(Required)
Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
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Email Address
Enrolled in MassHealth?(Required)
- Yes
- No
- Unsure
Need assistance with any of the following? You may select more than one.(Required)
- Select All
- Bathing
- Dressing
- Toileting
- Mobility
- Being Fed
Currently lives with a Caregiver?(Required)
- Yes
- No
If you are completing this form for someone else, please complete the following:
Your Name
First Last
Your Phone Number
Your Email Address
Your Relationship to the Applicant:
Next Steps
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- Referral/Word of Mouth
- Social Media
- Google Ad
- Newspaper Ad
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Name(Required)
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Street Address Address Line 2 City State ZIP Code

Note: You must reside in Massachusetts.
Phone Number(Required)
Email Address
Do you have a spare bedroom?
- Yes
- No
Briefly explain your caregiving experience:(Required)
How did you hear about us?(Required)
- Referral/Word of Mouth
- Social Media
- Google Ad
- Newspaper Ad
- Other

Caregiver and client in front of the ocean

Caregiver Connections: Shared Resources

March 2023 Caregiver Connections Resources

For helpful information regarding your MassHealth Redetermination and what you should prepare or disclose, click here.

February 2023 Caregiver Connections Resources

Here are some Mind and Body Relaxation and Sleep Exercises from Yoga Instructor Janet Green Garrison

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Hands-only CPR Instructional Video (watch this version if you want a laugh)

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Address

Adult Foster Care of the North Shore
63 Middle Street
Gloucester, MA 01930
978-281-2612 | Toll Free: 866-751-2616
Fax: 978-281-2223
[email protected]
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Hours

Office Hours Monday – Friday 9:00 am- 5:00 pm
After hours please call 978-281-2612 for assistance.

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