OPG

Referral Information

To help us understand your needs better, please complete the intake form below. This form will provide us with essential information about the individual, ensuring we can offer the best possible support. All information is transmitted securely, and stored on a secure server.

Once we receive the completed intake form, our team will review the information and schedule an initial consultation to discuss the request and answer any questions you may have.

If the proposed protected person is already served by an Area Agency (developmental/intellectual disability or traumatic brain injury) or a Community Mental Health Center (severe and persistent mental illness), OR has a current open adult protective services investigation with the Bureau of Aging and Adult Services, please contact the specific agency to inquire about guardianship intakes directly with the State.

We look forward to working with you.

Are you in need of immediate assistance?

Make a referral or call 603.224.8041