The Arizona Long Term Care System (ALTCS) program is for aged (65 and over), blind, or disabled individuals who need ongoing services at a nursing facility level of care.

Refer a Family

Do you or someone you know need our assistance?

Family Referral Form

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Instead of using this form, please email the referral directly to pfcreferrals@encirclefamilies.org so we can support the family as quickly and smoothly as possible. Thank you for referring families to our PFC program!
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By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. You will receive no more than two attempts to reach you via SMS text message. Message & data rates may apply. You can reply STOP at any time to opt-out of further messaging. For help, please call 602-242-4366.
Optional Information
This information helps us ensure that we are serving our entire community. This section is optional and has no impact on the availability of services from Encircle Families. Our services are always available at no cost to all Arizona families.



Examples include free school lunches, Income-based AHCCCS, SNAP.


Contact Information