Find Solutions For Your Situation

To start, tell us who needs long-term care.*

Me

My Spouse

My parent or other loved one

Where are they located?

State*

Zip Code*

Are they currently residing in a long-term care facility?*

Yes, they are

Not yet, but they are entering a facility in the near future.

No, they are not.

What type of long-term care facility are they residing in or planning to reside in?*

In-home care

Assisted living

Nursing home

How old are they?*

What is their marital status?*

Please provide an approximate value of the assets they currently own. Don't worry if you don't have all this information yet—a quick estimate is fine!*

You can exclude the value of the primary home and primary vehicle. If they are married, please include the spouse's assets as well.

Do they own any of these types of assets?

Checking Accounts

Savings Accounts

Investments, stocks, and/or bonds

Annuities

Life insurance policies

IRAs or other retirement accounts

More than one vehicle, including recreational vehicles

More than one home or piece of land

If you're not sure, you can move ahead to the next question.

Please provide their approximate monthly income.*

This could include income like Social Security, pension, and any other sources of income.

Although Senior Care Counsel primarily serves individuals with an immediate long-term care need, our network of specialists is equipped to help with a wide variety of situations. Answer a few additional questions to be connected with someone who can help!

How old are they?*

Do they currently require any help with Activities of Daily Living?*

Yes

No

Activities of Daily Living include bathing, toileting, getting dressed, walking, eating, and maintaining continence.

Have they ever been diagnosed with one or more of the following conditions?*

Yes

No

AIDS, HIV, ARD disorder, Alzheimer’s, dementia, multiple sclerosis, muscular dystrophy, ALS, Parkinson’s, diabetes, heart disease, cancer, COPD

Are they unable to walk four blocks or climb two flights of stairs?*

Yes

No