• New Patient Intake form:

    Lets Get Moving PT LLC.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Rows
  • Date of Birth*
     / /
  • Rows
  • Format: (000) 000-0000.
  • Date*
     - -

  • Service amount/ month

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    Non Medical Transportation. Per ride
    Non Medical Transportation

    Per ride 

    $100.00$100.00
      
    Companion Care Package. Companionship, meal prparation, Medication reminder, light house keeping, transportation assistance, safety observation, and family updates. price is per hour*
    Companion Care Package

    Companionship, meal prparation,  Medication reminder, light house keeping, transportation assistance, safety observation, and family updates. 

    price is per hour*

    $28.00$28.00
      
    Memory Support Package . Routine structure, cognitive engagement, and wandering supervision and emotional reassurance for individuals with memory loss. price is per hour*
    Memory Support Package

    Routine structure, cognitive engagement, and wandering supervision and emotional reassurance for individuals with memory loss.

    price is per hour*

    $33.00$33.00
      
    Respite Care Package . Temporary care so family caregivers can rest and recharge with peace of mind. price is per hour*
    Respite Care Package

    Temporary care so family caregivers can rest and recharge with peace of mind.

    price is per hour*

    $32.00$32.00
      
    Conserige Senior Support Package . Personalzed help with errands, appointments, shopping meals, restorative and daily tasks for a more convenient worry-free life. price is per hour*
    Conserige Senior Support Package

    Personalzed  help with errands, appointments, shopping meals, restorative and daily tasks for a more convenient worry-free life.

    price is per hour*

    $45.00$45.00
      
    Post- Hospital Care . Transportation home, mobility assistance, Medication reminders, fall prevention, and support during recovery. price is per hour* Additional charges applies to higher risk patient care.*
    Post- Hospital Care

    Transportation home, mobility assistance, Medication reminders, fall prevention, and support during recovery.

    price is per hour* Additional charges applies to higher risk patient care.*


    $35.00$35.00
      
    Total
    $0.00$0.00

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