• Senior Helping Hands Application

    Senior Helping Hands Application

  • Thank you for your interest in our Senior Helping Hands program. Please complete this application. Once your application is received it will be reviewed and we will call you to schedule a meeting.

    Senior Helping Hands is a program of Big Sky Senior Services, a private, nonprofit agency. Our goal is to help seniors remain living independently in their own homes by providing respite care, homemaking, personal care and nursing services.

  • Eligibility for Senior Helping Hands program is as follows:

    • Currently living in Yellowstone, Stillwater, or Carbon County
    • Must be at least 60 years of age
    • Have a diagnosed chronic health problem that prevents or restricts the client's ability to perform chores or personal care
    • Not eligible for similar services through Medicaid or Veterans Affairs.
    • Living independently (assisted living or retirement homes are not eligible for services)

    For more information about our programs, you can visit our website at www.bigskyseniorservices.org. We look forward in assisting you. Please feel free to call Lonna at 259-3111 if you have any questions.

    Thank you,

    Lonna Landon
    Senior Helping Hands
    Program Manager

  • Big Sky Senior Services
    935 Lake Elmo Dr., Ste. B
    Billings, MT 59105
    Phone 406-259-3111
    Fax 406-259-5839

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  • Emergency contact for client information or questions about care (examples: spouse, family member, or friend)

  • Additional contact person not living with client (someone who has a key or access to home)

  • List all persons living in the home and their relationship i.e., self, husband, son, daughter, grandchild, niece, nephew, renter, etc. (If there are more than 2 additional household members, please provide their information to Senior Helping Hands staff during intake meeting.)

  • Physician's Name (note: if more than 1 physician, please provide information about additional physicians to Senior Helping Hands Staff during the intake meeting.)

  • Hours of services: Monday - Friday 8:30 to 4:30 Please check the type of service you are requesting and frequency.

    *Clients on a limited income may qualify for a cost-sharing program which helps defray the hourly rate. If interested, please include proof of household income bank statement with this application.*

  • Please select all services client might require:

  • Registered Nurse Services:

    Rate: $34/hour* (1 hr minimum)  (Check all that apply)

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