Senior Helpers 1489 Baltimore Pike, Suite 224 Springfield, PA 19064 Phone: 610 604-9850 Email: info@seniorhelperspa.com

Senior Helpers provides in home senior care services to Delaware County, Montgomery County, Chester County, the Main Line and Philadelphia, PA.

An overview of our home care services is available here. A longer list of our caregiver services is available as well.

We would be happy to speak with you about how we can help your family! Our process begins with a complimentary "assessment interview" where we meet with the family to provide additional information about Senior Helpers and discuss the potential client's needs and goals.

You can call us at 610 604-9850 , email us or simply complete the form below to have one of our consultants contact you within 24 hours:

Our Director of Client Services will meet with you and your family jointly to determine the scope of care. During the meeting, we explain the services available, answer any additional questions you have of us, and help with the important care decisions faced by the family with a loved one in need.

We can meet in your home, your loved one's home, or our offices - whatever is most convenient for you!

Your Information

Your Name*
Your Address*
City, State & Zip*		AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Phone 1*		-
Phone 2		-
Email

Care Recipient Information

Relationship*		Please Select Parent Spouse Sibling Other relative Self Friend Patient Referral
City, State & Zip*		AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Care Recipient Location		Please select Lives at home Lives with family member Lives in assisted living Currently in nursing home Currently in hospital Other

Care Recipient Assessment / Needs

Alzheimer's / Dementia   Walking Assistance   Bathing Assistance   Dressing Assistance   Medication Reminder   Eating Assistance

Toileting Assistance   Meal Preparation   Light Housekeeping   Laundry & Linen Changing   Errands & Transportation   Companionship

Receptivity To Help

Please select Very receptive Somewhat receptive Unreceptive

Service Timeframe

Need Help Starting Within		Please select 1 day 2 days - 1 week 2-3 weeks 4+ weeks
Payment Type		Please select Private Pay Long-term Care Insurance Other
Weekly Budget		Please select $0 - $150 per week $151 - $300 per week $301 - $450 per week $451 - $600 per week $601 - $750 per week $751 + per week Other
How did you hear of us?		Please select I was referred by an acquaintance I was referred by a social worker I found your website on Google I found your website on Yahoo I found you on the internet I saw a magazine or newspaper ad I used the yellow pages I received a mailing at my house or work I saw one of your brochures / flyers I found out about you from my employer I heard a radio advertisement Other
Other Details / Comments?

About Senior Helpers | Areas Served | Contact Form | Office Location
Senior Services Overview | Our Caregivers | Long Term Care | Employer Solutions
Family Caregiver Burnout and assistance | F.A.Q. | Employment Opportunities
Veterans Program

Senior Helpers Delaware County | Senior Helpers Montgomery County
Senior Helpers Chester County | Senior Helpers Philadelphia