Determine Your Needs

Please enter some basic information on this page to enable us to find a community that best matches you or your loved ones needs. We strive to find the place where one will continue to lead an active and fulfilling life while staying within your personal budget. One of our representatives will contact you shortly to discuss this further. If you wish to call us directly you may do so at 913-244-0415.

*First Name: *Last Name:
*Address:
*City: *State:
*Zip *Email
*Home Phone: Alternative Phone:
*Comments:
 
I Am Looking For?
Home Health Assisted Living:
Nursing Home Independent Living:
Retirement Community Not Sure
 
How much assistance does your loved one need?
  Total Assistance Some Assistance Independent
Taking medicine
Using Bathroom
Showers/Bathing
Dressing
Feeding
Walking/Mobility
 
Assistive Devices Used:
Wheel Chair Walker Cane
 
Medical Equipement Used:
Oxygen Motorized wheel chair
Any Pets?        
 
Physical/Occupational Therapy Required?
Yes No
 
Funding Source:
Private Pay Medicare
Long Term Insurance Other
Medicaid    
 
Any Alzheimers/Dementia Diagnosis
Yes No
 
How did you hear about us
 

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