Silver Checks
This form is for enrolling yourself or a loved one in the Silver Checks Program—a free safety and wellness call service for Spartanburg County residents who live alone, are homebound, or would benefit from regular check-ins. Participants receive automated messages at 10 a.m. every Monday, Wednesday, and Friday through their choice of text, email, or phone call. Each message asks for a simple response to confirm you’re okay. If no response is received, follow-up messages will be sent at 11 a.m. and noon. If there’s still no reply, our dedicated volunteer team will reach out to make sure everything is alright. Please complete this form to sign up or refer someone who may benefit from these check-ins.
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First Name
Last Name
Date of Birth
Allergies or other medical information you wish to share
Email
Home Phone
Cell Phone
Address
Emergency Contact Person
Emergency Contact Person Contact #
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