St. Agnes Community COVID-19 Outreach
The St. Agnes community has the opportunity to come together and support each other in the midst of the COVID-19 crisis. Our hope is that this document will help us identify the needs of people in our community that need additional care, such as access to necessities like food, medicine, or connection in this time of social isolation. We will do our best to create a network of response and build bridges to greater resources.

Please complete the form below if you are:
- a person in need of additional assistance
- a support person with time or resources to offer

Fortunately, a number of other networks are also offering mutual aid. Other mutual aid forms are listed here:
Neighborhood mutual aid groups are also forming all across San Francisco. Once you fill out the form, we can see if these groups can be of assistance to you as well.

Seniors and people with disabilities in San Francisco can call Disability and Aging Services at (415) 355-6700 or TTY (415) 355-6756 for referrals to services, including take-out meals, home-delivered meals and groceries, Community Living Fund, and more.

After completing this form, you will receive a phone call or email to follow-up.
Contact with any questions.
Email address *
Name *
Your answer
Phone number *
Your answer
What's the best way to reach you? *
Neighborhood *
Your answer
Are you 60 or older? *
Would you like to be set up with a phone partner for a pastoral call? *This is someone who you would talk to by phone at least once a week, to check on each other and offer an opportunity for connection. *
Do you need help with any of the following?
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