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Tuesday, January 06, 2009
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Adult Services Division

If Only . . .

If OnlyIf only . . . I had the opportunity to see my grandchildren in Virginia. If only I could see the ocean or take a ride on the Blue Ridge Parkway in the spring. If only I could hear a concert or attend a play. All the “if only (s)” that a person replays in their mind as they age, always planning to do something but waiting for the right time. Suddenly the right time has slipped away and the opportunity to do something presents more of a challenge because you have been diagnosed with a serious illness.

As individuals are faced with the unexpected, the Department of Social Services (DSS)/ Adult Services Division, through a generous gift by former Forsyth County resident, Mr. O. Moser, would like to try and meet some of these unfulfilled expectations.

Print an Application The “If Only” Program, by and through its Advisory Committee, and administered by the Department of Social Services (DSS) would like to grant residents of Forsyth County that have a disabling and life threatening illness a request using proceeds from a generous gift by a former Forsyth County resident, Mr. O. Moser. We have called this program “If Only”. By working together with businesses in Forsyth County, we will do our best to make an approved request become a reality.

The “If Only” Program will consider requests from applicants who meet the following requirements:

  • At least 55 years of age
  • Have a disabling and life threatening condition
  • Have the physical and cognitive ability to participate
  • Are fully aware of the request and are able to identify a family or friend that may be able to accompany the individual, if needed.
  • Submit a completed application to the "If Only" Program located at the Department of Social Services
  • A resident of Forsyth County and a United States citizen

To begin the application process, you will need to send the following:

  • A completed application form
  • A personal letter that describes your request, why you need help and the importance of the request for you. This letter can be written by you or another person on your behalf. Please keep the length of the letter to no more than one page.
  • Statement from your physician stating that you are able to participate in the requested activity.

The Program is unable to grant the following types of requests:
    - Cash value in excess of $2000
    - Cash
    - Automobile or RV rentals or purchase
    - Purchase of property including homes, trailers, vehicles
    - Travel outside the United States
    - Cruises
    - Medical or psychiatric treatment
    - Legal Services
    - Surprise requests on behalf of someone

A completed application, including letter, request form, and physician’s statement should be mailed to the “If Only” Program in care of the Adult Division of the Department of Social Services at the address listed below. Incomplete applications can not be considered.

All requests will be reviewed by the Advisory Committee and submitted to the Director of DSS or designee for a final decision. If your request is approved the duration of time needed to complete the application process and to grant the request will depend on available resources. A representative from DSS or a DSS Volunteer will contact you regarding the decision and will help to make arrangements for your request, if approved.

If you need more information, please contact Diane Wimmer by email or call her at 703-3870.

Print an Application

Contact Information

Adult Services Division
741 North Highland Avenue
Winston-Salem, NC 27101
Main Phone Line:
(336) 703-3501
Direct Phone Lines:
Adult Medicaid
. . . . . . . . . (336) 703-3502
Carolina Access
. . . . . . . . . (336) 703-3505
Adult Services Intake
. . . . . . . . . (336) 703-3501
Adult Protective Services
. . . . . . . . . (336) 703-3503
Guardianship
. . . . . . . . . (336) 703-3503
Adult Placement
. . . . . . . . . (336) 703-3821
Facility Complaints
. . . . . . . . . (336) 703-3821
Fax Line:
(336) 748-3100

Mailing Address
P.O. Box 999
Winston-Salem, NC 27102


Office Hours
8:00 - 5:00
Monday - Friday

Did You Know . . .

Only 1 in 25 incidents of financial exploitation of elderly/disabled is reported to authorities.

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