Consultation Inquiry

Interested in our Companion or
Transportation Services?

We offer a Complimentary Phone Consult because we know trusting a care partner is the first important step in finding a good fit for your needs.

** ACCESSIBLE VEHICLE UPDATE! **

We will be getting our new accessible vehicle back by March 10th 2024

We are currently trying to raise funds to purchase & operate an electric, hybrid, accessible vehicle which can be accessed by drivers across the Sunshine Coast. Click here to learn more

Name

First Name

Last Name

Phone

(###)

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GENERAL BOOKING DETAILS

[1] Please provide your Booking Details

PLEASE SHARE THE DETAILS OF YOUR BOOKING >> ie. date, time, booking reason, one-way or return trip. If this is for a medical appointment please provide Physician/ Appointment in the next sections

[2] Which Transportation Service are you interested in?

If a service you are seeking is not listed please tell us what you need in the next field.

Which Companion Service are you interested in?

Our Companion Services can include things like: personal assistant, overnight stays, in home respite, support for emotional, physical, advocacy, health resource assistance, cooking, cleaning, personal care, pet sitting or support, home relocation and/or downsizing. If a service you are seeking is not listed please tell us what you need in the next field.

[3] Additional Service Needs or Details

We have restrictions for width, height and weight. Please advise if there will be any mobility issues? ie. walker, cane, transport chair or wheelchair (manual or electric)

[4] Which pick-up and/or drop-off destinations will you need?

Please specify which area(s) of the Sunshine Coast or Lower Mainland locations you will need to be transported to/from.

Are there any medical issues?

If no, please type NONE > otherwise please describe any medical issues that need special attention from our providers. (ie. speech, hearing loss, vision, etc.)

COMPLETE FOR MEDICAL APPOINTMENTS ONLY

Your Medical Appointment Details

Please provide all relevant Physician Appointment details > Doctor name, address/location, phone number, visit length , will you require standy?

Will you have a TAP form or qualify for assured ferry loading pass?

How did you hear about Care for a Lift services?

Consultation Inquiry

Interested in our Companion orTransportation Services?

Interested in our Companion or
Transportation Services?