Do you need help finding care for yourself or someone you love?

Please complete this form and we will do our best to assist you. You can expect a reply from us within 2 business days (Monday-Friday, holidays excluded). 

We will contact you to get a bit more information about the type of service you are looking for.  We will then reach out to our provider network and get back to you with available providers.

Do not use this form for emergencies. If you need help right away please call Crisis Services at 716-834-3131 where someone will be able to assist you 24 hours a day, 7 days a week.

How should we contact you?

You will receive a response within 2 business days. If you need immediate help call 716-834-3131.