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ARE YOU ELIGIBLE FOR GUIDE?

Please answer the questions below honestly to determine whether you qualify for the GUIDE program. Once you click submit, a member of the GUIDE care team will reach out to inform you of your eligibility.​

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Thank you for your submission.

A member of the GUIDE Care Team will reach out to you shortly to assist with determining the eligibility of you or your referral.

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8101 W Jefferson Blvd

Fort Wayne, IN 46804

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CONTACT US:

Call:

260.745.1200

800.552.3662

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Text: 

711 (Indiana)

800.743.3333 (USA)

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Email: 

info@agingihs.org

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