Client form
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Contacted by:
Relationship
Veteran or Spouse
Companion
Housekeeping
Cooking
Laundry
Bathing
Using the Bathroom
Lifts/Transfers
Transportation
Medication - Reminder
ADLS
Shoping

Are there any problem with:

Hearing
Vision
Speech
Is there Family Support Nearby?
Is Care Currently Being Provided?
Is there any difficulty in movement or getting around the house?
Service required?

Consultation

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WE HIRE FAMILY MEMBERS, FRIENDS, SIBLINGS TO OUR CLIENTS

1. Direct care worker
2. Nurses Assistant
3. Direct Support Professional
4. Caregivers
5. Home Health Aide

6. Personal Care Assistant 

7. Companion

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