In coordination with Saint Francis Hospital, the Saint Francis Hospital Outreach Bus provides free transportation for services: Nursing Services include blood pressure screening and monitoring of other chronic conditions, health information and/or education, in-home assessment, medication management counseling and information, referral to home healthcare services, healthcare coordination, fall prevention screenings and education, and brain games. Social Work Services include individual, family and group counseling, In-home assessment, case management, bereavement support, caregiver assistance, advance directive education, entitlements/Benefits assessments and assistance (food stamps, home heating, low-income programs), disability resource information, financial counseling (referrals), food and nutrition support (Meals on Wheels, Food Pantries, referrals)Medicare, Medicaid or other health insurance information, mental health referrals, respite care (referrals), transition assistance from hospital to home or rehabilitation, home maintenance referrals, support groups, Veterans assistance, Circle of Support (Life planning tool).