Apply / Refer for Services

Thank you for your interest in Care at Home services available through Philadelphia Corporation for Aging (PCA). 

(The following link is a shortcut to another website)

Three Easy Ways to Apply for Care at Home Services

1) Online
Online Application/Referral form

2) Mail:
Download, print, complete and Mail-in application form 
LTCA Helpline Application Referral Form
Philadelphia Corporation for Aging
Attention: Helpline
642 N. Broad St.
Philadelphia, PA 19130

3) Fax
Download, print, complete and Fax application form
LTCA Application Referral Form
Fax: 215-765-9066

You or the person you are contacting us about will be contacted within two business days through the PCA Helpline.

For information on other services for older Philadelphians and their caregivers, including home-delivered meals, insurance counseling, legal services, senior community centers, and caregiver resources, call:
The Helpline at 215-765-9040