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Cobb County Government

info@cobbcounty.org

100 Cherokee Street, Marietta, GA, 30090, US

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FY24 Share the Care Initial Contact Form

Complete form below if you are interested in dental, hearing or assistive devices services through the Share the Care program.  

Providing aid to those 60+ in need

Funding to cover dental, hearing, and/or durable medical equipment from approved providers

For Cobb residents*

  • 60 + years of age
  • Household income <200% of the federal poverty level

Program is based on available funding.

*Individuals living in Assisted Living or Nursing Home facilities are not eligible for funding.

NOTE: This is not the program application.  You will be emailed the link for the full program application. If you have any questions, please call (770) 528-2009  or email SharetheCare@CobbCounty.org.  Thank you!

Full Name

Is the person receiving services a Cobb County resident?

Only Cobb County residents are eligible. 

Is the person receiving services 60 years of age or older?

The gross household income must be 200% or below of the federal poverty scale.  

Household of 1- $29,160

Household of 2 - $39,440

Household of 3 - $49,720

Household of 4 - $60,000

Household of 5 - $70,280

*A "household" includes all people living at the same residence, regardless of legal or familial relationship.

Which service(s) are you in need of? (Check all that apply)