HOME
British Columbia
Vancouver
Victoria
Alberta
Calgary
Edmonton
British Columbia
Vancouver
Victoria
Alberta
Calgary
Edmonton
British Columbia
Vancouver
Victoria
Alberta
Calgary
Edmonton
British Columbia
Alberta
British Columbia
Alberta
If you would like to
refer services or set up care
please fill out the following form and then press send. We will be in contact with you within the next twenty four hours.
Date:
mm
dd
yyyy
Name:
Address:
City:
Province:
Postal Code:
Telephone:
Email:
Emergency/Alternate Contact Number:
Diagnosis:
What kind of help is required?
bathing
shopping
companionship
showering
homemaking
driving
transfers
laundry
toileting
meal preparation
Hours of care:
Comments:
Where did you hear about us:
Select One
Select Two
Select Three
|
VANCOUVER:
VICTORIA:
TOLL FREE:
t.
604.263.3621
f.
604.263.4139
e.
vancouver@classiccaregivers.com
t.
250.412.0214
f.
250.412.0215
e.
victoria@classiccaregivers.com
1.888.263.5168
CALGARY:
EDMONTON:
TOLL FREE:
t.
403.242.2750
f.
403-242-2759
e.
calgary@classiccaregivers.com
t.
780.428.2750
f.
780.428.2753
e.
edmonton@classiccaregivers.com
1.888.263.5168
All Contents © 2003-2007, Classic Caregivers Ltd. All Rights Reserved