Having difficulty using the embedded form? Please visit https://forms.office.com/r/id3CAFVL62 to complete the Microsoft Form in your browser. Alternatively, click on the button below to download, print, and scan the form to carlita@reviveandthriveproject.org. Referral forms can also be mailed upon request.


Questions? Contact our Client Services Team:

carlita@reviveandthriveproject.org or (616) 606-3314.


This service is funded in part by the Kent County Senior Millage. Learn more at https://www.aaawm.org/kcsm.

Revive & Thrive Project is an equal opportunity provider.