Initial Consult | Geriatric Planning

Our session is about

Where are they living?

Alone

With family/me

In a community

Other, explain in Additional Comments

What care has been provided so far?

I provide their care.

My family and I provide their care.

We hire caregivers.

We need help finding care providers.

We need help to know what care is needed.

Other, explain in Additional Comments

In what city do you live?

How did you hear about Geriatric Planning?

Google search

Geriatric Planning website

Dementia Specialist website

An association referral list, please provide association name in Additional Comments

I'm a returning client

If referred by a client or a friend, please provide their name in Additional Comments

Other, explain in Additional Comments

Does your loved one have?

Long Term Care Insurance

Healthcare POA

Advance Directive

Will require Medicaid