Book a Care Who Needs Care? * ParentDaughterSonSpouseOther RelativeNeighbor/Friend How Old is The Person That Needs Care? * 45-5455-6465-7475-8485 or Older Male or Female MaleFemale What is their current living situation? * Living Alone at HomeIn The Hospital Needs a SitterIn The Hospital Discharging to HomeAssisted LivingIndependent Senior LivingNursing Home Estimate How Much Care They Might Need * A Few Hours Per WeekMore than 20 hours per week40 or more hours per weekAround-The Clock CareLive-In Care What Type of Care is Needed? (Check All That Apply) * Bathing/Showering and Groomimg Toileting and Incontinence Care Medication Reminders Light Meal Preparation Errands/Shopping/Pharmacy Light House Keeping Light Laundry Companionship Safety Supervision Escort on Appointments (doctors office,hair salon,etc) Alzheimer's and Dementia Care Other How Will Care Be Paid For? * Private Pay (check or debit/credit card)Long-Term Care InsuranceVeterans BenefitsMedicaid Waiver ProgramsWorkers Comp InsuranceMedicare Advantage Part CAid and AttendanceAnd More First Name Last Name Email Phone Address City US States AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWashington DCARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EASTARMED FORCES AMERICA (EXCEPT CANADA)ARMED FORCES PACIFIC Zip SUBMIT
