Book A Caregiver
In A Few Easy Steps

Step 1

Let’s Gather A Few
Initial Details

Where are you looking for services in?

Select State and Enter Zipcode

Who is the person needing caregiver services?

Info for the person needing a caregiver

Who is setting up services on their behalf?

Your information

Relationship to client

Step 2

Now Let’s Better
Understand Your Needs

Which of the following does
he/she need support with?

Select all that apply

Does she/he use any of
the following items?

Select all that apply

Step 3

When do you need
Our Services

What days/times will
a caregiver be needed?

Select the days and times you need

Days
Times
Overnight
8 AM 10 PM
8 AM 10 PM
8 AM 10 PM
8 AM 10 PM
8 AM 10 PM
8 AM 10 PM
8 AM 10 PM
Select a minimum of 5 consecutive days
0
days a week
Day to Day
Starting Time
8 AM
8 AM
8 AM
8 AM
8 AM
8 AM
8 AM

When do you need
services to start?

Enter a requested start date

Here are the service plans
that best fit your needs.

Rec. based on the needs you shared

Anything else you’d like to share
about their needs/preferences?

List anything else you’d like to share below

Summary

Service Plan:
Starting:
Location:
Person in need:
Relationship:
Responsible party:
Email:
Phone:
Price rate:

Next Steps

1. HomeCare Coordinator Intro

Your dedicated HomeCare Coordinator will follow up with you shortly to assist with next steps in the process of arranging services.

2. Caregvier Matching Process

Your dedicated HomeCare Coordinator will follow up with you shortly to assist with next steps in the process.

3. Start of Care

Once services begin, we’ll provide ongoing support through service plan management, daily documentation and ongoing communication.

The HomeAides, LLC solely provides non-medical care.
This is default text for notification bar