Complete our intake process to help us better understand your needs and connect you with the most appropriate services and support options.

Complete Intake Form

Our intake process helps us gather important information so we can provide safe, personalized, and compassionate support tailored to each individual and family.

All information shared with Eloah Care Community Inc. is handled respectfully and confidentially.

Personalized care and support provided in the comfort of home.

Supportive living and shared housing options for seniors and adults.

Structured daytime support, socialization, and wellness-focused programming.

Transportation for appointments, programs, errands, and community outings.

Specialized support for seniors and individuals living with memory-related conditions.

One-to-one support, outings, appointments, errands, and wellness assistance.

Short-term relief support for caregivers and families.

Professional staffing support for facilities, organizations, and private clients.

• Contact information
• Emergency contacts
• Medical or support needs
• Mobility information
• Medication information
• Transportation requirements
• Preferred services
• Scheduling preferences
• Funding information (if applicable)

After submitting your intake information:

1. Our team will review your request.
2. We may contact you for additional details.
3. A consultation or assessment may be scheduled.
4. We will work with you to determine the most appropriate services and supports.

If you need assistance with the intake process, our team is happy to help.

Phone: 1-844-213-3453
Email: info@eloahcare.net

Complete the intake process today and let our team help you explore the best care and support options available.

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Submit Intake Request