How Old is the Person That Needs Care? *45-5455-6465-7475-8485 or Older

Who Needs Care? *MyselfSpouseParentGrandparentOther RelativeFriendOther

Is The Person Male Or Female? *MaleFemale

What is Their Current Living Situations*Living alone at HomeLiving at Home with FamilyIn the Hospital and Needs a SitterIn the Hospital Discharging to HomeAssisted LivingIndependent Senior LivingNursing Home

What Type of Care is Needed? (Check All that Apply)*Bathing/Showering & Grooming AssistanceToileting & Incontinence CareMedication RemindersLight Meal PreparationErrands/Shopping/PharmacyLight HousekeepingLight LaundryCompanionshipEscort on Appointments (Doctors, Hair Appointments, etc.)Safety SupervisionHospice CareRespite CareAlzheimer's & Dementia CareHome Care After HospitalizationIn-Home Parkinson's Care24-Hour Home CareOther

How Will The Care Be Paid For*Private PayMedicaidWorkers CompensationVeterans Assistant ProgramPA Health & WellnessKeystone First Community Health ChoicesLong-Term InsurancesAmeriHealth CaritasOther

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

I agree and understand that I will be receiving a call and emails from a staff member of Abington Caregivers. The purpose of the call is to understand more about my senior care needs. There is no obligation to purchase any services. You agree to receive automated messages. This agreement is not a condition of purchase. Receive up to 2 messages per month. Reply STOP to opt-out or HELP for help. Message & data rates apply. Terms & Conditions can be found HERE.