In order to help encourage healthy social distancing strategies, the City of Charlestown in partnership with the Charlestown Township Trustee’s Office will be implementing an Assistance Outreach Program. This program is available now in response to the COVID-19 (Coronavirus) pandemic and national state of emergency and will continue for as long as necessary to ensure that those most vulnerable members of our community may stay connected and watched over, while isolated from potential exposure.   

If you or a loved one are unable to leave your home due to age, disability, or high risk factors for infection, or if you become infected and are home-bound until healed, you may enroll in the Assistance Outreach Program by completing the form below.

Once enrolled, a city representative will contact you or your loved one daily to check in and inquire about your ongoing status and any needs for assistance or resources.

Should you need food or supplies, the representative will put you in contact with volunteers who can assist you so that you do not have to leave your home. If you have any questions please contact City Hall at (812) 256-3422, the Mayor’s city cell phone at (502) 297-4390, or the Trustee’s Office at (812) 256-2104.

You may also enroll by phone by calling (812) 256-3422, press extension 8 to bypass the menu and be connected with the Mayor’s Office. 

PRIVACY NOTICE: You are under no obligation to disclose protected or sensitive health information while completing this form. Please do not disclose sensitive health information on behalf of another party without their prior consent. The City of Charlestown in collaboration with the Charlestown Township Trustees Office provides this service on an opt-in only basis. We will make every effort to keep your information confidential and limited to as few parties as possible, but please understand that during this time staff and volunteers may be provided with the information collected via this form to assist in outreach efforts. The City of Charlestown, The Charlestown Township Trustee, and any actors on their behalf are not medical providers. If you have an urgent medical or need or life-threatening emergency, please call 911.

If an individual you submit for service is contacted and refuses service, we will respect their wishes, advise you of their response to your inquiry, and provide a list of local resources that may be available.

Charlestown Assistance Outreach Program

 

Verification

 

For the most up to date and accurate information and technical guidance regarding COVID-19 (Coronavirus), please refer to the resources below: 

Clark County Health Department

Indiana State Health Department

Center for Disease Control

Charlestown Police Department: Know the Facts and Practice What Keeps You Well