For Referring Agencies

This form is ONLY for social workers, clergy, physicians, and other referring organizations seeking help for people they serve.

We are located in Harleysville, PA. We deliver to areas in close proximity to our facility. Otherwise essentials are shipped. Therefore we are unable to ship heavier items.

We rely on donations to meet critical needs so our inventory fluctuates.

Items we often have available include diapers, clothing, shoes, coats, toiletries, linens, bath & kitchen items, incontinence products, school supplies, and baby gear.

If the information you provide is complete we will do our best to meet the request. We will only contact you if we have a question.

Please make sure to provide specific, detailed information regarding what support is needed, such as clothing sizes and/or specific items.

If you are an INDIVIDUAL requesting assistance, please fill out our Individual and Family Needs Form.


Please fill out the agency referral form.