Helpline Connection 877-234-3641

Make A Referral

You may use the online referral form (below) or submit a completed referral (Referral PDF) by mail, fax or email to:

LifeTime Resources ADRC
13091 Benedict Drive
Dillsboro, IN 47018

Fax (812) 432-3822

Client or Client Representative: I give permission for my clinical provider to give my name, address, phone number, and the client information below to LifeTime Resources so that a representative from LifeTime may contact me or my personal representative about options that are available to me and my family. I understand that LifeTime may provide feedback to my clinical provider based on our contact.

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