Request a Care Consultation
Tell us what kind of non-medical support you are considering. A member of Loving Private Care 71 will review your request and follow up to discuss appropriate next steps.
Before You Submit
- Provide the best phone number and email for follow-up.
- Select the general non-medical service category that best matches your interest.
- Be ready to discuss approximate timing or schedule during our follow-up call.
- Avoid Social Security numbers, financial account information, detailed medical records, or other highly sensitive information.
For prompt assistance during business hours, call (313) 735-5298.
This website form is not monitored as an emergency service. For an urgent medical emergency, call 911.
Submitting this form begins a conversation and does not guarantee service acceptance, availability, or a specific start date.
Care Consultation Form
Please provide general information about the support you are considering. Required fields help us respond accurately.
Your information will be handled according to our Privacy Policy.
What Happens Next
1. Request Review
Our team reviews your contact information and selected general service category.
2. Follow-Up Conversation
We contact you to clarify needs, location, timing, preferences, and scheduling considerations.
3. Appropriate Next Steps
When our services may be a fit, we explain intake, care planning, scheduling, and service-start requirements.
Are You a Professional Referral Source?
Hospitals, rehabilitation centers, case managers, social workers, senior-living professionals, elder-care attorneys, and other professional partners should use the dedicated no-PHI referral pathway.
