top of page

We’re Here to Support You

Antlers Creek Caregiver Foundation connects caregivers to compassionate, community-based services that make caregiving more sustainable. Our support is shaped by lived experience—we are caregivers ourselves, and we understand the challenges, uncertainty, and emotional weight that often come with this role.

Whether you need a break, guidance, or simply someone who understands, we’re here to listen.

What Support Can Look Like

We offer or connect caregivers to trusted support services, including:

​

  • Companionship and respite care

  • Peer and emotional support groups

  • Assistance with Medicaid and insurance navigation

  • Household help, transportation, and meal support

  • Training and education opportunities

 

Support may look different for each caregiver. Our goal is to understand your needs and help you access the right resources.

black_caregiver.jpg

Who Can Request Support

You may complete this form if you are: • A caregiver seeking support for yourself • A family member or loved one supporting a caregiver • A friend, neighbor, or community member referring someone • A professional or organization referring a caregiver in need Caregiving takes many forms, and all are valid.

About the Caregiver Support Form

The caregiver support form helps us understand your situation so we can connect you with appropriate services. It is: • Simple and confidential • Free to complete • Designed with caregiver privacy in mind • Does not collect protected health information (PHI) You are not committing to anything by submitting the form—this is simply a request for support and connection.

What Happens After You Submit

Once your form is received:

  1. A member of the Antlers Creek Care Team will review your request

  2. We may reach out for additional details, if needed

  3. We will work to connect you with available resources and next steps

 

Response times may vary depending on availability, but every request is handled with care and respect.

mexican_caregiver.jpg

Take the First Step

Asking for help can be one of the hardest parts of caregiving—but it’s also one of the most important. You deserve support, rest, and understanding.

Complete the Caregiver Support Form below to get started.

We’re honored to support you.

Antlers_Logo_Blend_White_Vertical.png

Caregiver Support Needs & Release of Information Form

Tell us what support would help you most.

Relationship to Care Recipient (check one):
Adult Child
Care Partner
Family Member
Friend/Neighbor
Parent
Professional Caregiver
Spouse/Partner
Support I Need Help With (check all that apply):
Are you filling this form as (check one):
A caregiver for myself/my family
Referring someone else

Additional Planning Questions

How often do you need support?
One-time
Weekly
Monthly
Unsure
Do you currently have a Medicaid waiver or HCBS services?
Yes, currently enrolled
No, but interested in applying
Not sure
No, not interested
Do you have long-term care insurance?
Yes
No
Not sure

Release of Information (ROI)

Please note: Depending on the type of support you request, we may need your written permission (Release of Information) for each agency or provider we coordinate with on your behalf. This is required by law and helps protect your privacy. We will guide you through each one and only request what’s needed.

I authorize Antlers Creek Caregiver Foundation, Inc. to share the following information:
My caregiver support needs form
Referrals or resources discussed with me
Other

With the following person/organization:

Purpose of Disclosure:
Coordination of care
Referral
Other
This authorization will remain in effect until (choose one):
One year from the date of application
Until revoked in writing
Other

I understand that I may revoke this authorization at any time by providing written notice. I understand that information disclosed under this authorization may no longer be protected by federal privacy regulations once it leaves Antlers Creek Caregiver Foundation.

bottom of page