Clinton, MD - 301-856-5553 | Capitol Heights, MD - 301-736-6622

Try Us!

Interested in enrolling yourself or a loved one into the Helping Hands Adult Day Services program? We encourage you to spend 1/2 day with us at our Clinton or Capitol Heights, Maryland location.

Click here to download the Face Sheet and fax it to the appropriate center.

Clinton, MD Fax: (301) 856-5512

Capitol Heights, MD Fax: (301) 736-6622

After you send the form back, we will get in touch with you to confirm the date and time requested.

Face Sheet

Please fill out this form and we will get in touch with you shortly.
  • Medical/Payment Information

  • Contact/Transportation

  • This field is for validation purposes and should be left unchanged.