Caring Hands Adult Day Services

Are you a Medicaid recipient? *

Are you authorized to receive Desert Regional Center (DRC) services? *

Our Offices are closed Saturday and Sunday. With that in mind, what day would you like to receive a call back from our representative? * +

What time of the day is most convenient for you to receive a telephone call? *

Prior to you call, is there any information you would like our representative(s) aware of in order to be fully prepared? *

First Name *

Last Name *

Street Address *

Last Name *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *