Apply for a Legacy Book

Want a Legacy book? All you have to do is fill out the form below! You can fill it out for yourself or nominate an individual. In the Subject, tell us the name of the individual and in the message box tell us a little bit about yourself or who you are nominating. We will get in contact as soon as we can with more information!

We are currently only working with individuals located in the following locations, but hope to expand soon

  • Northeast Ohio Counties: Cuyahoga, Geauga, Lake, Lorain, Medina, Ashland, Wayne, Summit and Portage
  • Southern California Counties: Orange County
  • Western Washington Counties: King County
  • Illinois Counties: (Coming Soon)
  • Massachusetts Counties: (Coming soon)
Tell us a little bit about yourself and who you are nominating! We would love to know why this person would like a legacy book. We'll reach out as soon as your application has been processed.

*We are not licensed therapists. We are providing Legacy Books for end of life patients by applying the principles of Dignity Therapy However, we are not providing a medical service*