GuideStar CharityAlzFdn.org|   2765 Main St. | Suite A | Chula Vista, CA 91911   |   (800) 736-6674   |   [email protected]EVENTS FORMS CAREERS PARTNERS

The George G. Glenner Alzheimer’s Family Centers, Inc.®
Skip to content
MENUMENU
  • ABOUT
    • Our Mission
    • Our History
    • Our Team
    • Images
  • SERVICES
    • Adult Day Care
    • Caregiver Support Groups
    • GLENNERCARE™
    • Memory Cafés
    • Professional Education Program
    • THE HENRY GRANT™
    • Volunteer Programs
  • TOWN SQUARE®
    • About
    • FAQs
    • Town Square® Locations
    • Videos
    • Become a Franchise Owner
    • Host Your Event
  • MEDIA
    • GLENNERCARE™
    • TOWN SQUARE®
    • MEMORY CAFÉS
    • MEDIA INQUIRY
DONATE
DONATE

GLENNERCARE™ Member Questionnaire

"*" indicates required fields

This field is hidden when viewing the form

Member NO


To utilize the services of the GLENNERCARE™ program, your loved one must first be enrolled at one of our day centers. This message portal is for the loved ones of participants enrolled at one of the Glenner Centers. To enroll your loved one at one of our specialized centers, please click HERE.
This field is hidden when viewing the form

Member YES


The GLENNERCARE™ Team is here to help. We are your Virtual Care Partner and you can turn to us with any questions or concerns. You can call us at 1-833-770-CARE, email us at [email protected] or complete the form submission below.

So that we can appropriately direct your inquiry, please complete the fields below and in the comment section, please tell us briefly what is going on. A GLENNERCARE™ Team Member will be in touch with you ASAP.

YOUR Name*
MEMBER Name*
By providing a telephone number and submitting the form, you are consenting to potentially be contacted by SMS text message from The George G. Glenner Alzheimer’s Family Centers, Inc.® regarding your loved one enrolled at the George G. Glenner Alzheimer’s Family Centers, Inc.® Message frequency may vary. Message and data rates may apply. Reply STOP to opt-out of further messaging. Reply HELP for more information. See our Privacy Policy HERE.

Please check the applicable box below:
GLENNERCARE™ is not intended for emergencies. If you have an emergency, please call 911 immediately!

Please self-report your loved one’s vital signs at the time of this submission so that we may better serve you.

How would you like our team to respond to your inquiry?

By clicking “SUBMIT”, you agree to the George G. Glenner Alzheimer’s Family Centers, Inc.® Privacy Policy. You consent to receive phone calls and SMS messages from the GLENNERCARE™ Social Worker Team and/or your Program Director to provide updates and information regarding your loved one enrolled at the George G. Glenner Alzheimer’s Family Centers, Inc.®. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out of further messaging. Reply HELP for more information.

WHO WE ARE

  • About Us
  • DONATE
  • Contact Us
  • Events
  • Forms
  • Media
  • Careers

WHAT WE DO

  • Adult Day Care
  • Caregiver Support Groups
  • Professional Education Program
  • Volunteer Programs
  • Memory Cafés
  • GLENNERCARE™
  • Tree Talk

TOWN SQUARE®

  • About Town Square®
  • FAQs
  • Town Square® Locations
  • Videos
  • Become a Franchise Owner
  • Host Your Event

SUPPORT OFFICE

2765 Main Street | Suite A
Chula Vista, CA 91911

PHONE

(619) 543-4700

EMAIL

[email protected]

CONTACT US

Find locations, get directions, support group schedule details, media inquiries, and more.

CONTACT US

© 2025 Glenner.org All Right Reserved.  |  Privacy Policy  |  Dev: Shakeyhands

WHO WE ARE

  • About Us
  • DONATE
  • Contact Us
  • Events
  • Forms
  • Media
  • Careers

WHAT WE DO

  • Adult Day Care
  • Caregiver Support Groups
  • Professional Education Program
  • Volunteer Programs
  • Memory Cafés
  • GLENNERCARE™
  • Tree Talk

TOWN SQUARE®

  • About Town Square®
  • FAQs
  • Town Square® Locations
  • Videos
  • Become a Franchise Owner
  • Host Your Event
SUPPORT OFFICE

2765 Main Street | Suite A
Chula Vista, CA 91911

PHONE

(619) 543-4700

EMAIL

[email protected]

CONTACT US

Find locations, get directions, support group schedule details, media inquiries, and more.

CONTACT US

© 2025 Glenner.org All Right Reserved.  |  Privacy Policy
Dev: Shakeyhands

WHO WE ARE

  • About Us
  • DONATE
  • Contact Us
  • Events
  • Forms
  • Media
  • Careers

WHAT WE DO

  • Adult Day Care
  • Caregiver Support Groups
  • Professional Education Program
  • Volunteer Programs
  • Memory Cafés
  • GLENNERCARE™
  • Tree Talk

TOWN SQUARE®

  • About Town Square®
  • FAQs
  • Town Square® Locations
  • Videos
  • Become a Franchise Owner
  • Host Your Event
SUPPORT OFFICE

2765 Main Street | Suite A
Chula Vista, CA 91911

PHONE

(619) 543-4700

EMAIL

[email protected]

CONTACT US

Find locations, get directions, support group schedule details, media inquiries, and more.

CONTACT US

© 2025 Glenner.org All Right Reserved.  |  Privacy Policy
Dev: Shakeyhands

