860.793.9944
PLAINVILLE, CT
203.283.9425
MILFORD, CT

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Application for Homecare

Euro Homecare is the most affordable
and effective in home companion service!
Apply for in home care companionship
or in home assistance today ...

Are you seeking in home companionship or basic life-assistance, a full-time caregiver, or part-time in home care companion for yourself or a loved one? Euro Homecare will provide the most effective and affordable customized in home care solution that best suits your needs.

Euro Homecare caregiver professionals are trained to follow a client's customized plan, which, will meet or exceed each client's physical and financial needs or requirements.

There are many benefits to receiving Euro Homecare services right in your home: peace of mind, comfort, and the convenience of knowing you or your loved one is in their familiar environment ... and under excellent supervision. Everyday, our clients remind us that we're their trustworthy solution for assisted in home living. Ultimately, our caregivers are there to provide YOU or YOUR loved ones with companionship ... and a better quality of life.

If it is the desire of the family, each of our clients has the freedom to go to social events to maintain quality of life. Most importantly, our caregiver's remain with their client every session, thus providing familiarity and stability for both the client and their family. Weekly supervision of our client and his/her caregiver ensures that interested parties know each individual and their family is receiving the best care. Euro Homecare is insured and bonded.

Still intrigued?

Then simply click on the link below and fill-out our on-line application for in home companion services. We will contact you within 24-hours.



Patient Information
First Name: Last Name:
Date of Birth: Age:
Address: City:
State: Zip Code:
Day Telephone: Evening Telephone:
Fax: Other Contact Method:
Person needing assistance: Self     Relative     Other    



Service of Interest

24 Hr Live-in Care:
     Days: Mon.    Tue.    Wed.    Thur.    Fri.    Sat.    Sun.

Hourly Care:
     From (State am or pm)
     To (State am or pm)

     Days: Mon.    Tue.    Wed.    Thur.    Fri.    Sat.    Sun.

Home Health Aide
Certified Nurse
Companion
Other - Specify:



Caregiver Skills

Driving License
Car
Other - Specify:



Patient Illness

Alzheimer's
Dementia
Parkinson's
Stroke
Heart Disease
Cancer
Diabetes
MS
Other - Specify:



Assistance Needed

Personal Care
Bathing/ Dressing
Walking/Lifting/Transferring
Meal Preparation/ Feeding
Medicine Reminder
Shopping/Errands/ Transporting
Laundry/Bed, Linen Change
Light Housekeeping
Socialization/Companionship
Light Exercises (As Directed)
Other - Specify:



Caregiver's start date needed:

How did you hear about us?


We not only live up
to our promises,
but also to your
highest expectations

Attentiveness, respect,
love & stability
are our core values


Hourly Companion Services
Live-In Companion • Homemaker Services
Personal Care Services
Alzheimer's Care Companion and more




For a FREE quote or
consultation, please call us at
860.793.9944
or email us at
elizabeth@eurohomecare.net

Our caregivers
are available for
as little as
$12 per hour

Companion Services
• Socializing
• Taking a walk
• Reading
• Playing games
• Medication reminders
• Meal preparation

Homemaker Services
• Shopping
• Transportation
• Running errands
• Light house cleaning
• Laundry
• In addition to the above ...
• Maintenance services

Personal Care Services
• Personal hygiene
• Oral hygiene
• Bathing
• Dressing
• Feeding
• Toileting
• Bed changing
• Exercising
• In addition to the above ...
• Hairdressing available upon
   request

Special Care Services
• Alzheimer's care
• Dementia care
• Stroke care
• Cancer care
• ALS care

Transportation Services
• Doctor's visits
• Errands
• Social events
• Movies
• Church
• Hair salon
• Park visits



The preferred home care provider for senior services, the disabled, Alzheimer's care, chronically ill or mentally challenged— Euro Homecare's services are available in Connecticut ... and throughout select areas of New England & New York


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