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Contact us!  We are happy and proud to help you!


To become a Member of our Adult Family Care (AFC) program, and be eligible for our program and services, the person who needs assistance must be:

• 16 years of age or older
• Eligible for Medicaid (MassHealth)
* Requires 24-hour live-in assistance
• Needs help with one or more daily activities:

 - Bathing

 - Dressing
 - Walking
 - Transferring (Getting in and out of bed)
 - Using the Bathroom
 - Eating 


Find out if your loved one qualifies. 

It’s easy! Just submit this referral form or call us at 508-232-3774 Monday through Friday 9am to 5pm.  We look forward to working with you to give your loved one the care they deserve, and the support that you deserve as well. 

Thank you!

To Refer A New Member
to Our Adult Family Care (AFC) Program 


Thanks for your referral!

AFC Referral Form


Our Brockton headquarters is located at 1115 West Chestnut StreetBrockton, MA 02301, 508-232-3774  Email:


If you have a reason to come to our office, please call in advance and make an appointment as our staffing hours have been affected by COVID-19.  Thank you! 

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