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Request Care
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FREE CARE ASSESSMENT

Do Your Loved One Need Additional Support?

Answer a few quick questions to receive 

personalized guidance and care recommendations.

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Thank you for taking a few moments to complete this assessment.
There are 10 simple questions, and most families finish under             
2 minutes. Your responses will help us better understand your loved one's need so we can provide personalized care recommendations.
Before You Begin
Does your loved one need help with bathing, dressing, or personal hygiene?
Yes
No
Is it becoming difficult for your loved one to prepare meals regularly?
Yes
No
Is housekeeping, laundry, or keeping up with the home becoming difficult?
Yes
No
Are medications ever forgotten or taken incorrectly?
Yes
No
Has you loved one recently been hospitalized, visited the ER, or experienced a health-related emergency?
Yes
No
Has your loved one experienced a fall or become unsteady while walking within the last 12 months?
Yes
No
Are appointments or errands being missed due to transportation challenges?
Yes
No
Do family members feel overwhelmed or stressed by caregiving responsibilities?
Yes
No
Need Help?
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Questions while completing your assessment?

W're here for you!

+1 (972) 457-1934

info@havenlegacycare.com

  • HIPPA-conscious
  • Completely confidential
  • Your information is never shared
  • No obligation
Your Privacy Matters
Why Families Trust Haven Legacy Care
  • Compassionate, trained caregivers
  • Personalized care plans
  • Flexible scheduling
  • Family-centered approach
  • Serving Dallas County and surrounding areas
What Happens Next?
We Review Your Assessment
Our  care coordinator carefully reviews your responses to better understand your loved one's unique needs.

Receive Your Personalized Care Plan
We'll email you a customized care recommendation outlining the services that may best support your loved one based on your assessment.

Schedule Your Care Consultation
We'll connect with you by phone to review your personalized care plan, answer your questions, and make any adjustments based on your family's preferences.

Begin Compassionate Care
Once you're ready. we'll schedule services and match your loved one with a compassionate caregiver who fits their needs.​
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