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REQUEST CARE

Let’s talk about your care needs.

Every person’s situation is different. Tell us a little about the care you are looking for, and a member of Lulurozie SuperSweet Home Care will contact you to discuss your needs.

caregiver providing personal care and support to old woman

A simple first step.

You do not need to know exactly what to ask for. We’ll listen, learn what matters, and talk through the next steps together.

✓  Personal conversation

✓  Care shaped around you

✓  No care agreement created by this form

Prefer to talk?
Call (557) 214-4776
Friendly caregiver conversing with happy senior Hispanic woman in wheelchair in a bright sunroom.

YOUR CARE REQUEST

Tell us a little about what you need.

We’ll use your details only to follow up about this request.

Person Needing Care
Services Needed

Selected: Personal Care, Meal Preparation, Medication Reminders

How will care be paid for?

Submitting this form does not create a care agreement. We will contact you to discuss your needs, availability, and next steps.

DISCLAIMER FOR insurance and program coverage

SuperSweet's insurance and program coverage are contingent upon eligibility, verification, and authorization as well as our participation with the payer. We recommend not stating acceptance of any insurance company until confirmation has been received. Thank you for your understanding as we navigate these important processes.

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