A little clarity goes a long way.

Use Request Care to share your contact details and preferred contact method. You can indicate the type of support you want to discuss. The form is for a callback request, not a clinical assessment.

Yes. The request form lets you indicate who the care is for. Share your own contact details so the conversation can begin with you. Do not include another person's medical records or sensitive medical information.

Your name, contact information, preferred contact method, and the general type of support you want to discuss. Please do not submit diagnoses, medical histories, insurance identification numbers, or medical records through the website.

Start with specific tasks rather than a service name. Note the routines you want to keep, where help would be welcome, and the preferred schedule. Ask the provider which tasks are within scope and which need separate assessment. Our blog includes a practical home care checklist.

Companionship, household assistance, and help with daily activities address everyday support needs. Nursing involves clinical needs, which are different. Ask during your callback whether the support you are looking for is available.

Service location and staffing need to be confirmed individually. Request a callback to discuss where support is needed before making arrangements.

A start date can only be confirmed after reviewing your needs, location, any required authorization, and staffing. Submitting a request does not reserve a caregiver or guarantee a start date.

Respite care means temporary support so a family caregiver can take time away from usual caregiving responsibilities. The arrangement should identify the agreed tasks, schedule, handover, and contact plan. Availability and the scope of assistance must be confirmed before a visit is arranged.

Ask about screening, training relevant to the agreed tasks, supervision, and how concerns are handled. Confirm what happens if the usual worker is unavailable and how changes to support are reviewed. These are questions to discuss directly, rather than assume from a service description.

Needs and preferences can change. Ask how to request a review, who approves changes, and whether a new assessment or authorization is required. Do not add tasks informally without confirming that the worker and provider can carry them out.

Payment options and any program or insurance eligibility must be verified for the individual and requested service. Ask the payer and provider to confirm the requested service, any authorization, and your share of the cost before care begins.

No. The care request form is not an emergency service. For a medical emergency, call 911.