This is a descriptive and exploratory study carried out in two teams of Family Health, in the municipality of Presidente Venceslau, São Paulo, Brazil, in order to characterize the profile of the elderly hypertensive patients who do not attend activities at the Hiperdia. Moreover, the study also aimed at identifying possible factors that interfere in the access to this program and the families' participation in the treatment as well. Data were collected in June 2007, with 36 elderly people through a semi-structured interview. It was observed that the prevalence of non-membership of the elderly to the program is 8.5%; elderly and families ignore information on the disease, and if there is no dependence, the family is not involved with the treatment. It was concluded that it is necessary to develop strategies to the elderly assistance so that there is an effective communication team-elderly-family Developing staff training to develop actions of health education is another need.