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New Visitor Intake


STOP: Please have the following information readily available before filling out this form:
-Contact Information
-Last 4 of your Social Security Number
-Photo of your Driver's License or State ID to upload
Upon submission, you will be contacted within 48 business hours.
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About Hillhaven Community Outreach

Our mission and vision is to develop, implement, and oversee programs that will empower and improve the quality of life for families and individuals (children, youth, single adults, etc.) It is a step toward change. We see ourselves providing quality services that enable people to become self-sufficient and productive members of society within their community. Our services are all extensions of three goals we aim to achieve: providing community service, making education more accessible, and stimulating economic development.

General Info

  • Our mission

Isaiah 25:4

"For You have been a stronghold for the helpless, A stronghold for the poor in his distress, A shelter from the storm, a shade from the heat; For the breath of tyrants Is like a rainstorm against a wall."


Office Hours:

Mon - Thurs: 10am - 2pm
Fri: 8am - 12pm


EIN#: 94-3319298

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