Admission Your Loved One's Care Journey At Comfort Care at Home , Inc, we make joining our care program simple and stress-free. Here’s how it works Start Here Our Admission Process: Clarity, Care and Commitment Initial Consultation Let's talk about your needs Contact us via phone, email, or our online form We’ll ask a few questions to understand your situation: Medical history or specific care requirements Preferred schedule (24/7 care, part-time, etc.) Urgency and location No obligation – just clarity In-Home Assessment We visit to create a pesonalised plan Our care coordinator will: Evaluate safety, mobility, and medical needs in your home Discuss daily routines, dietary preferences, and goals Answer questions about costs, insurance, or caregiver qualifications Custom Care Plan Tailored to your unique needs We’ll draft a detailed plan including: Tasks(eg. medication management, meal prep, companionship). Emergency protocols and caregiver instructions Review and approve the plan together before moving forward Caregiver Matching Meet your dedicated caregiver. We match you with a trained professional based on:Skills (eg. dementia care, physical therapy support).Personality and language preferences.Schedule a free meet-and-greet to ensure comfort. Service Begins Your care journey starts. Caregiver arrives prepared with your approved plan. Family members receive updates 24/7 support access. We adjust routines as needed to ensure seamless care. Ongoing Support We're here for the long term. Regular check-ins to review progress and satisfaction. Open communication for adjustments. Smooth transitions if care needs change (eg. hospital follow-ups). Our Admission Form Fill out this form to get started First Name *Middle NameLast NameAge *Gender *Please choose oneMaleFemaleTelephone Number *Street Address *CityState/ProvinceCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweWhom do you live wth? *Occupation *Marital Status *MarriedSingleOtherIf Other, Please SpecifyAre you retired? *YesNoIf Yes, Please specify Date of RetirementDo you have any disability? *YesNoIf Yes, Please specify Date of DisabilityAre you allergic to any medication? *YesNoIf Yes, Please specify the medicationDo you smoke? *YesNoIf Yes, Please specify how many yearsDo you drink alcohol? *YesNoIf you quit, How many years?Consent *Yes, I agree with the privacy policy.Submit Call Today 302-737-8078 254 Chapman Road, ste 100 Newark, Delaware 19701 Send us a Message Start Here Email: info@comfortcare-home.com Fax number: 302-737-8076