Thank you for contacting COSA regarding services.  We would be more than happy to assist you!

An electronic version of the In-House Services form is available on this site. For a full understanding of the services we offer, please look at the Services section of this website. You can apply and submit your application for In-Home Services either of the following ways:

a.  Submit online

b.  Print and Fax the application to: 610-490-9066. 

Adobe Acrobat Reader is free software that is required to print and view these forms. Download Acrobat Reader.

You or the person you are referring will be contacted within three business days (does not include holidays and official office closings) through the COSA Assessment Unit.  

If you are not a resident of Delaware County, for further information on other services for older Pennsylvanians and their caregivers, including home-delivered meals, insurance counseling, senior employment, senior community centers, and caregiver resources, please call Information and Referral at 610-490-1220 or visit www.Eldercare.gov.

If you are experiencing technical difficulties with the form (i.e., not being able to submit or print the form), please call 1-866-457-7938.