With the following information, a counselor can begin to compile your personalized list of appropriate options to assist you in your search. This list can be mailed, e-mailed, or faxed directly to you. The more thorough and complete the information, the easier it will be to send you the most appropriate options.

In home care costs approximately $17-$20/hour. The in-home care provider DOES NOT accept Medi-Cal or Medicare. Please see their respective websites for more information.

We currently have information for the following counties:

Orange, Los Angeles, San Bernardino and Riverside.

Your Contact Information (* indicates required fields)
*Your Name:Please add Mr. or Ms.
*Address
*City
State
*Zip Code
*Tel Number w/area code
Email Address
Client's Information
Client's NamePlease add Mr. or Ms.
*Age
*County where care is to be provided
Services Requested
  
 Medication Supervision  Meal Preparation
 Running Errands 
 Processing Mail  Respite relief for family
  
Light Housekeeping:  
 Vacuuming Straightening and tidying
 Sweeping Washing Dishes
 Trash Removal
Personal Care Services: 
  Bathing  Dressing
  Oral Hygiene (brushing teeth, dentures)  Brushing hair, styling, makeup, shaving
  Assistance with Eating  Aid in moving position
  Assistance going to the restroom  Incontinence Care
  Changing Bed Linens  Laundry