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Los Angeles County
DialMED Home Care
14613 E. Whittier Blvd. Ste 210
Whittier, CA 90605
562.464.0295
888.434.2563

Orange County
DialMED Home Care
111 W. Bastanchury Rd. Ste 2E
Fullerton, CA 92835
714.869.0300
888.434.2563

 

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Request Service from DialMED Home Care

Please fill out the following form and click submit to have a representative from DialMED Home Care contact you

Contact Information
Your Name
Phone Number
Email Address
For Whom are you
seeking care?
City


What are their current Medical Problems?
High Blood Pressure
Alzheimer's
Heart disease
Vision
Arthritis
 Diabetes
Hearing
Dementia
Stroke


What personal care would require assistance?
Bathing/ Showering
Continent
Incontinent
Med reminders
Errands
 Walking
Dressing
Transfers
Companionship
Cats
Dogs
 Stand by assist
Fall Risk
Meal Prep
Shopping
Smoker


Comments/More Information


What hours of care will be needed?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday