WHAT CAN WE HELP YOU WITH?

Información en Español

Testimonials

I think Bob was able to get the most out of how he wanted to spend the remaining part of his life because of your help and the amazing Wendy, his caregiver. His remaining time without the help of your organization would have been completely different and we thank you very much for all that you did to allow Bob, a Navy veteran with an incredible independent spirit, live as he wanted to.
Joe R., Caregiver to neighbor
READY TO GET STARTED?
CUSTOMER CARE CENTER
Visit the customer care center for a variety of resources and helpful information.
CAREGIVER RESOURCE CENTER
Visit the caregiver resource center for information on obtaining and providing your loved ones with the best available care.

The Residences
of United HomeCare

Request Information

Please fill in the form below to request information about The Residences of United HomeCare.

Your Information:

First Name:*
Last Name:*
Email Address:*
Telephone:*
Address:
 
City:
State:
Zip Code:

Reason for Contacting:
Request more information General questions

Schedule a tour

Inquiring for:
Self Parent Family Member

Friend Other

If other, please specify:  


Does the Future Resident have Medicaid?
Yes No

If yes, is it an HMO?   Yes No


Does the Future Resident have Medicare?
Yes No

If yes, is it a Medicare Advantage Plan (HMO, PPO, etc)?
Yes No


Is the Future Resident able to ambulate without assistance?
Yes No

If no, what kind of device is used?
Cane Walker Wheelchair Other

If other, please specify:  


What is the Future Resident's current living arrangement?


How did you learn about The Residences of United HomeCare?

If other, please specify:  


Comments:

* Required field.

Please enter the characters below to help us minimize spam.