Home Care Services

Home Care Services: Transportation Options For Seniors Who Can’t Drive Any Longer

By Abiba Namen | September 10, 2021 | Comments Off on Home Care Services: Transportation Options For Seniors Who Can’t Drive Any Longer

Home Care Services in Chester PA: Senior Transportation Options

Home Care Services: There will come a time when it’s dangerous to your senior and dangerous to other people for them to get behind the wheel.

Use This Form to Receive Information or Call (267) 766-5218

When you fill out this form you can expect information and communication with a caring staff member from our office.
Name of Person Submitting this Form*
First Last
Phone
Your Email Address- We will send you information via email.*
Would you like a FREE assessment?
- Yes
- No
Are you looking for employment?
- Yes
- No
Message
Who Needs Care at Home?*
How Old is the Person Who Needs Care?*
Male or Female?*
What is their current living situation?*
Estimate How Much Care They Might Need*
What Type of Care is Needed? (Check all that apply)*
- Light Meal Preparation
- Light Laundry
- Light Housekeeping
- Companionship
- Transportation to Appointments
- Grocery Shopping
- Errands
- Bathing
- Toileting
- Medication Reminders
- Respite Care
- Hospice
How will care be paid for?*
- Private Funds
- Long-Term Care Insurance
- Medicaid
- Other - (VA Aid and Attendance, Reverse Mortgage, etc)
Many Senior In-Home Care services and products are not covered by insurance, Medicare, Medicaid or public assistance. Most individuals and families often need to pay "out-of-pocket" for some or all services requested. Are there other sources of financing available to you, such as Social Security benefits, VA benefits, or Private Funds?*
- Yes
- No
- I don't know
Do you have experience?*
- RN
- CNA License
- HHA Certification
- LVN/LPN Certification
- First Aid Certification
- CPR Certification
- None
Do you have a driver's license?*
- Yes
- No
Do you have a your own transportation?
- Yes
- No
Do you have Car Insurance?
- Yes
- No
What days are you available to work? (Check all that apply)
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
When are you available to work? (Check all that apply)
- Mornings (6am - 12pm)
- Afternoons (12pm - 4pm)
- Evenings (4pm - 10pm)
- Overnights (10pm - 6am)
- Live In (24 hours)
How did you hear about us?*
Have you ever been convicted of a felony?*
- Yes
- No
Phone Number of Person Submitting this Form*
Zip Code Where Care is Needed*
CAPTCHA