Home	The Elder	The Caregiver	When To Offer Help	Advanced Eldercare Planning	Individual & Family Services
Corporate Services	Employee Assistance Programs	Counseling Services	Our Blog Articles	Our Newsletter	Contact Us

CONTACT US

Thank you for visiting our website! Please feel free to contact us to schedule an appointment, arrange for a consultation, or to request further information on any of our services.

E-mail:	Care4you@optonline.net
Mailing Address:	PO Box 122 Cos Cob (Greenwich), CT 06807-0122
Telephone:	(203) 861-9833

REQUEST FORM FOR ADDITIONAL INFORMATION

Would you like to obtain more information about The Caregiver Resource Center? If you or your organization would like more information about our services, a proposal, or contact information, please complete this form and one of our staff will contact you shortly.

First Name			Title
Last Name			E-mail Address
Company Name			Phone
Street Line 1			Fax
Street Line 2
City
State
Zip/Postal Code
Number of Employees	Select One N/A 0-10 11-50 51-250 251-500 501 +
Type of Organization	Select One Corporation - Not For Profit Corporation - For Profit Union Educational Religious Medical/Health Care Professional Organization Municipality Community Service Organization Other - Please Specify Below If Not Indicated Above, Specify Here

Additional Information
Please use this area to provide additional information, if necessary.

You are interested in services for:

Select One Your Company Yourself Relative Friend Client/Patient Other - Please Specify Below If Not Indicated Above, Specify Here

Please check the categories for which you would like more information.

Special Offer #
The Caregiver Resource Center Newsletter
Individual & Family Services
	Caregiver Support
	Needs Assessment
	Facilitation of an Open Discussion with the Elder
	Development of an Individualized Care Plan
	Professional Referrals
	Information & Education
	Monitoring & Advocacy
	Consultation Services
	Counseling Services for the Caregiver
	Counseling Services for the Elder
	Counseling Services for the Family
Corporate Services
	Workplace Survey
	Seminars for Supervisors
	Educational Seminars for Employees
	Brown bag lunch
	1/2 day
	Full day
	Printed Literature
	Flyers (e.g. Alzheimer?s, alternative housing, caregiver stress)
	Pay stuffers (e.g. stress reduction techniques, depression warning signs,)
	Caregiver Services
	Research and Information (provided on local, State, & national resources)
	Caregiver Support Groups
	Caregiver Fairs
	Assistance in Setting up a Caregiver Library On-site
	Employee Assistance Program (EAP)

How would you like to be contacted?
Phone   Fax   Email   US Mail

How did you hear about The Caregiver Resource Center?

TV   Radio   Print Material   Internet   Friend/colleague

Other

Please allow 5 to 10 seconds for the form to be processed.

The Caregiver Resource Center
a division of
Employee Assistance Professionals, Inc.
PO Box 122
Cos Cob (Greenwich), CT 06807-0122

For more information or to request a consultation you can reach us at:

(203) 861-9833

care4you@optonline.net

Home The Elder The Caregiver When to Offer Help Advanced Planning Individual & Family Services Corporate Services Employee Assistance Programs Counseling Services Topics of Interest Our Newsletter Contact Us

1/17/20

Copyright 2000 - 2020 Employee Assistance Professionals, Inc. All Rights Reserved. Disclaimer