Request care

Five minutes, no obligation. A coordinator responds within one business day — urgent requests are assessed the same day.

If someone is in immediate danger or medical distress, call 911 now.

Who needs care?

Their first name * Their last name * City / community * Do they live alone? Yes No

Care needs

What support would help? (choose all that apply) * Companionship Bathing and personal hygiene assistance Dressing and grooming assistance Meal preparation Light housekeeping Laundry assistance Errands and grocery assistance Medication reminders Respite support Mobility and daily-living support Basic senior support Non-medical dementia support and supervision Non-medical post-hospital support Overnight non-medical support Getting around the home is… Any of these lately? (helps us plan the right support) A fall or near-fall Getting lost or disoriented Kitchen safety worries Difficulty with stairs Long stretches home alone None of these Hospital discharge in the last 30 days? Yes No

Schedule

Roughly how many hours per week? When is help most needed? Weekday days Weekday evenings Weekends Overnight When should care start? * Immediately (within 48 hours) Within 1-2 weeks Within a month Planning ahead

Preferences & funding

Preferred languages English French Other How will care be funded?

Your contact details

Your name * Your relationship to them Phone * Email We send a simple confirmation — never care details by email. Anything else we should know?

Consent

Teson Home Care requires your consent to collect and use the information provided to respond to this request, assess care needs, and arrange non-medical home-care services. Please review the linked privacy and consent information before submitting.

I consent to Teson Home Care collecting and using the information provided to respond to this request, assess care needs, and arrange non-medical home-care services. * I agree that Teson Home Care may contact me by phone or email about this care request.

By submitting you agree to our privacy policy. Consent wording: care · communications · AI assistance.