FREE ASSESSMENT: Spokane Office
(509)785-6993
Coeur d’Alene
:
(208) 758-0357
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Assessment Form
Daily Living
Personal Care
Meal Preparation
Companionship
Transportation
24-hour Care Options
Specialty Care
Post Surgical Care
Stroke Recovery Care
Parkinson’s Disease
In-Home Wound Care
Respite Care
Dementia and Alzheimer’s Care
Palliative Care
About Us
Owner’s Bio
Locations
Spokane
Treasure Valley
Couer d’Alene
Spokane Team
Boise Team
FAQ
75-hour HCA Training
Senior Resources
General Aging Information
Disease Related Organizations
Services for Seniors
Additional Links
Employment
Contact Us
Assessment Form
In Home Care Services Assessment
Are you or a loved one a candidate for in-home healthcare?
Please fill out the form and someone will contact you shortly.
Your Name
First
Last
Your Email
*
Your Phone
Check all that you require assistance with:
Memory Loss
Transportation
Walking
Meals
Medication
Bathing
What is your monthly budget for long-term care?
Under $1,500
$1,500 to $3k
Over $3k
Please describe how Care To Stay Home Can help to meet your needs.
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