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Berkshire Helping Hands, Inc.
lending a helping hand to those in need
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Berkshire Helping Hands, Inc.
lending a helping hand to those in need
Toggle Navigation
Toggle Navigation
Home
Get Help
About Us
Our Story
Our Team
Resources
Contact Us
Donate
Senior care package request form
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Request a Senior Care Package
These care packages are intended for Northern Berkshire seniors 60+ who are housebound and/or have difficulty leaving home due to health restrictions.
Name of Senior
*
First
Last
Phone Number
*
Address
*
Town
*
Email
Age
*
Relationship to Senior
Self
Relative
Other
Name of Requestor
*
First
Last
Phone Number of Requestor
*
Describe Your Relationship to Senior
Delivery Instructions
Color of House
Special Instructions
Submit