Trusted Contact Form

Do you have a “Trusted Contact”  form on file with us?

Should there be any questions or concerns about your health or welfare due to potential diminished capacity, financial exploitation or abuse, endangerment, and/or neglect, this form authorizes us and Fidelity to contact the designated trusted contact.
To complete a form, please click the botton below to download or call us at 570-296-5525.
[pullquote]Completed forms can be emailed to us at or mail to PO Box 909, Milford, PA 18337[/pullquote]