Tell us what your family needs

Answer as much or as little as you like. Everything except your name, a way to reach you and where you live is optional, and we can fill in the rest on the call.

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It is switched off in your browser, so this request cannot be sent. Please call us on 800-813-3251 and we will take your details over the phone.

First name

Last name

Phone Any format is fine.

Email Only ever used to reply to you.

Who is the care for?

County

City and ZIP

When would you like care to start?

What kind of help are you looking for? Tick anything that applies. We will work out the detail on the call.

Companionship and conversation Light housekeeping and laundry Meal planning and preparation Errands, shopping and rides Medication reminders Dementia companionship Not sure yet

There is nowhere on this form to write a medical detail, and that is deliberate. Save anything about health, diagnoses or medication for the call, where it belongs. If this is an emergency, call 911.

Rather just talk?

The fastest way to get an answer is to call the office and speak to a person.

800-813-3251

[email protected]

Office hours
Monday to Friday, 8:00 AM to 5:00 PM

Care hours
Care available 24 hours a day, 7 days a week, based on client needs and caregiver availability.

What happens after you send this

We call you back, usually the same business day.
We ask a few questions to check that your needs sit inside what we are registered to provide.
If they do, we arrange a free home visit and write the service plan with you.
If they do not, we tell you plainly and point you to a licensed provider who can help.

Where we work

We serve Duval, Clay, St. Johns, Nassau and Baker Counties. If you sit just outside that line, call anyway and we will tell you honestly whether we can reach you.

Before you send

We provide non-medical companion and homemaker services only. We cannot provide bathing, dressing, toileting, transfers, hand feeding, wound care or medication administration. See exactly where the line sits.

If someone is in danger

In an emergency, call 911. To report suspected abuse, neglect or exploitation of a vulnerable adult, call the Florida Abuse Hotline on 1-800-96-ABUSE (1-800-962-2873). You do not need our permission and you should not wait.