Schedule Appointment with YOUR CARE ORDER FORM

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Assessments

Companion Services

Homemaking

I would like to schedule...

(1) Hour Home Check Assurance - Per Visit

1 hour @ $65.00

• Reassure loved ones
includes assessment, home check, pic of individual or home if permitted.
• weekly or monthly subscription option

Assessment Visit - Per Visit

45 minutes @ $75.00

Mandatory- Needs assessment is where our home care services coordinator; in the comfort & privacy of your own home for a complete review of your needs.

(24) HOUR LIVE - IN (Flat Rated)

1 minutes @ $425.00

• includes personalized care plan
• telehealth support
• errands, delivery & pickup groceries
• appointments
• Prescription refills -maintenance
• light house chores
• meal planning & prep
• outings, sight-seeing, fitness & planned travel

( 8) Hours Companion Care (Flat Rated)

8 hours @ $300.00

• includes personalized care plan
• telehealth support
• errands, delivery & pickup groceries
• appointments
• prescription refills -maintenance
• light house chores
• Meal Planning & Prep
• outings, sight-seeing

( 4) Hour Companions (Flat Rated)

4 hours @ $160.00

[Adult Sitter/ Companions/ Homemaker Services]
• includes personalized care plan
• errands, delivery & pickup groceries
• appointments
• light house chore, meal planning & prep
• outings, sight-seeing,

( 1 )Hour Companion / Homemaker (Per Hourly Rate)

1 hour @ $50.00

[ including Adult Sitter/ Companions/ Homemaker Services]

• includes personalized care plan
• meal planning & prep
• telehealth support
• errands, delivery & pickup groceries

(4) Hour Respite Care [Special Rated]

4 hours @ $145.00

[Adult Sitter] Services Only *special rated
• includes personalized care plan
• meal planning & prep
• telehealth support
• errands, delivery & pickup groceries

(24) HOUR LIVE - IN (Flat Rated) (Copy)

1 minutes @ $425.00

Home Organization/ Declutter, Airway Ventilation (up to 3 Hours)

3 hours @ $200.00

• Improve ventilation, breathing, and airflow
• Small hoarding, cluttered; clothes, papers, bins boxes

Snow Bird Package - House Check ( up to 1 Hour Per Visit)

1 hour @ $60.00

add on Rate $35 Per additional hours as needed.

• mail Forwarding
• plant watering
• windows and door check
• house Sitting
• weekly or monthly subscription option

YOUR CARE ORDER FORM

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