954-870-4770
The
Right Choice
for Home Health Care Services
Providing services in Fort Lauderdale, Plantation, Sunrise,
Tamarac/Coral Springs, Pompano Beach, Coconut Creek,
Pembroke Pines, Davie, Weston, Deerfield Beach
Florida
New York
Menu
Home
About Us
Star Multi Care FAQ
Get Started
Services
Care Management Services
Companion Care
Alzheimer’s Care
Live-In Home Care
Long Term Care
End-of-Life Care
In-Home Senior Care
Home Health Care
Skilled Nursing
Post Hospitalization
In Home Rehabilitation
Medical Conditions
Snow Bird Services
Staffing
Resources
Testimonials
News
Employment
Registered Nurse
Licensed Practical Nurse
Physical Therapist
Certified Nursing Assistant
Home Health Aide
Personal Care Aide
Benefits
Contact Us
Search
Get Started
Home
»
Get Started
Get Started with Star Multi Care Services in Florida. Fill out the form below.
Use This Form to Receive Immediate Info
When you fill out this form you can expect immediate information, pricing and communication with a caring staff member from our office.
Who Needs Care at Home?
*
Select One
Child Under 18
Myself
Spouse
Parent
Grandparent
Other Relative
Friend
Other
How Old is the Person Who Needs Care?
*
Select One
Adult 18-44
45-54
55-64
65-74
75-84
85 or older
Male or Female?
*
Select One
Male
Female
What is their current living situation?
*
Select One
Living Alone at Home
Living at Home with Family
In the Hospital Needs a Sitter
In the Hospital Discharging to Home
Assisted Living
Independent Senior Living
Nursing Home
Estimate How Much Care They Might Need
*
Select One
A few hours per week
More than 20 hours per week
40 or more hours per week
Around-the-Clock Care
Live-In Care
What Type of Care is Needed? (Check all that apply)
*
Light Meal Preparation
Light Laundry
Light Housekeeping
Companionship
Transportation to Appointments
Grocery Shopping
Errands
Bathing
Toileting
Medication Reminders
Respite Care
Hospice
How will care be paid for?
*
Private Funds
Long-Term Care Insurance
Medicaid
Other - (VA Aid and Attendance, Reverse Mortgage, etc)
Zip Code Where Care is Needed
*
Name of Person Submitting this Form
*
First
Last
Your Email Address- We will send you information via email.
*
Phone Number of Person Submitting this Form
*
© 2018 All Rights Reserved | Star Multi Care Services of Florida | 8181 W. Broward Blvd Suite 200 Plantation, FL 33324 | Tel: (954) 962-0926 | Fax: (954) 962-5054 | Home Care Marketing Website by LTC Expert Publications