Boca Raton Adult Day Care CenterCompassion · Care · Connection · Community

Service Request

Request homemaker & companion services.

Tell us about the household and the non-medical support you're looking for. Our standard recurring plan is 25 hours per week across at least 3 service days. Need something shorter? Use the short-term request form.

Homemaker & Companion Services Request

Non-medical services only. We do not provide hands-on personal care, medication administration, nursing, lifting, or transfers.

Standard recurring plans require at least 25 hours per week.

Minimum 3 service days per week.

Optional: care notes, schedules, POA or guardianship paperwork, or a service letter. Max 10MB per file.

Submitting this form does not create a service agreement or guarantee caregiver availability. Review service plans and pricing.