Corporate Office: 1-888-423-1197
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Care services for: (required) MyselfLoved oneFriendPatientClient
Reason for care: (required) Chronically illAgingDisabledDiabeticArthriticDementia/Alzheimer'sRecovering from surgeryRecovering from a strokeRecovering from cancer treatmentRecovering from orthopedic surgery
People available to help: (check all that apply) Myself Family member(s) Friend(s) Case worker Volunteers Nobody at this time
We will need care during: (required) In the morningAfternoonEveningOvernightAround the clock
How many times a week? (required) 1 or 2 days a weekA few days a week5 days a week7 days a week
Caregivers will assist with:(check all that apply) Walking Getting up Bathing Dressing Making meals Feeding Using the restroom Incontinence Transportation Running errands Housekeeping Companionship Communication Medication reminder
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