Apply For Services

Please apply for all services at one time. If you are submitting this application for someone other than yourself, the applicant must be aware that a request for services is being made on their behalf. An unauthorized submission without the client's permission cannot be processed. 

To request:

  • Home delivered meals
  • Congregate meals
  • Transportation to senior centers and nutrition sites
  • Senior center activities
  • Personal care
  • Homemaker
  • Caregiver assistance
  • Material aid (adult diapers or nutritional supplement)
  • Respite care at home
  • Respite care at day health center
  • JCOA Cares 

Please download the JCOA Online Service Request form, complete, and email to adrc@jcoa.net.

 Your application will be processed by the Aging & Disability Resource Center (ADRC).

For help obtaining:

  • Senior employment opportunities
  • Utility assistance
  • Legal services
  • Senior Center activities
  • Medical Alert
  • Health Insurance (SHIP - Senior Health Insurance Information Program)
  • Understanding Medicare
  • Medicaid
  • SenioRx Prescription Drug Assistance
  • Public Benefits

Or any other service or questions…

Please contact the Aging and Disability Resource Center at 504-207-4690 or email your questions to adrc@jcoa.net.