Mt Washington COVID-19 Request Help Signup
Mt Washington's COVID-19 Response team is made up of your neighbors who would like to help you stay well. We'd also like to help you shelter in place if you're exhibiting COVID-19 symptoms, have possible exposure, or are worried about compromising your immune system. Self-quarantine is recommended for 14 days for those who may have had exposure to the virus, and for 72 hours after symptoms end.

Please fill out the form below to be paired with a neighbor close-by who can help out. We can help with activities outside of the home.

We respect your privacy. Your information will not be shared outside of the neighborhood nor to anyone for which it is not necessary.

If you know of an older adult or immune-compromised neighbor who doesn't have access to the internet, please fill out this form with their name and phone number or address so someone from the team can check in with them.

If you have any questions, please contact:

Please signup to help below:
First Name *
Your answer
Last Name *
Your answer
Email Address
Your answer
Address (# Street Name, Apt #) *
Your answer
Phone Number (format XXX-XXX-XXXX) *
Your answer
Is it ok to text this number? *
I need help with:
Anything else we should know?
Your answer
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