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contact happiest at home

Contact Happiest at Home

You can contact us over the phone, by email or simply fill in the form below and a member of our team will get in touch at a convenient time for you.

Looking for Care? Get in touch

We have CAREPals all around the UK ready to help you or your loved ones.

We are always on hand to chat to see if we are able to help in any way and provide our services directly to you.

Email us: hello@wearehappiestathome.co.uk

Or simply complete this form and we will be in touch soon.

Care enquiry and referral form recreated from HighLevel screenshots. Carers looking for employment are redirected to the job application form.

About you(Required)

First Name(Required)

Last Name(Required)

Phone(Required)

Email(Required)

How do you want to submit your case?

Who is the care needed for?(Required)

Name of person requiring care(Required)

Street Address

City

County

Postal Code

Age of client

Gender of client

Preferred Gender of Carer

Information about client that will help with finding the right care

How is the care to be financed?

Please give details

Type of Companionship/Care needed

Day and evening visits

Sleeping nights

Waking nights

Live-in care

Case Files(Required)

Drop files here or

Accepted file types: pdf, doc, docx, xls, xlsx, csv, jpg, jpeg, png, gif, Max. file size: 32 MB, Max. files: 10.

Click to upload case files. Full information needed. Accepted file types: PDF, DOC/DOCX, XLS/XLSX/CSV, JPG/JPEG, PNG, GIF. Maximum 10 files.

Medical Conditions

Does the client have any Medical Conditions

Arthritis

Alzheimers

Atrial Fibrillation

Autism

Anxiety

Cancer

Communication difficulties

COPD

Cerebral Palsy

Deafness

Dementia

Depression

Diabetes

Down Syndrome

Epilepsy

Fibromyalgia

Heart Disease

Incontinence

Learning Difficulty

ME (chronic fatigue syndrome)

Multiple Sclerosis

Osteoporosis

Physical disability

Parkinsons

Quadriplegia

Stroke

Visual Impairment

Other - please add to info above

Care Needs

Are they safe to be left unattended

Yes

No

Do they have mobility issues

Yes

No

If yes, what aids do they use

Does client require help with medication

No

Yes - Administration

Yes - Reminders

Care Required

Administration – filing etc

Accessing local community

Catheter Care

Cleaning/Housework

Cooking/support with eating

Companionship

Enablement

Exercising

Financial support

Incontinence Care

Medication/creams administration

Ordering/collecting prescriptions

Moving and Handling

Personal Care

Pet Care

Shopping

Transport

Any other details of care requirements

Is there any specific care experience you wish your carer to have?

Do you want the carer to have Covid vaccinations?

Yes

No

Do you have any pets?

Yes

No

What interests does the client have? What would you like to get out of the care and support?

By checking this box, I consent to receive communications from Happiest at Home. You can opt out at any time.

Arrange a callback

Arrange a convenient time with one of our team to talk through your situation and requirements.

Discuss your needs

Book a Teams Meeting

Book a call directly by choosing from our available meeting slots using our simple-to-use calendar.

Professionals

Make a referral

Refer a case, or arrange a call with one of our team to discuss your client’s needs

Head Office
Hypoint, Saltmeadows Road, Gateshead, Tyne & Wear NE8 3AH
Tel: 0345 030 3845 | hello@wearehappiestathome.co.uk

Office Hours
You can contact us directly during the times below.

Monday-Thursday 8:00am - 5:00pm
Friday - 8:00am - 3:00pm
Saturday & Sunday - Closed

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