Our network of senior care providers include: in-home senior assistance, personal care, adult day care, companion care, homemaker services, care managers, and home health care, along with assisted living, skilled nursing facilities and more!

Use the brief survey below to immediately connect with providers in your area.

About this survey

In order for ElderCarelink to assist you, we will ask for your input on several important questions. The responses that you give us are very important, as they are the basis upon which we are able to match you with providers who can assist you. Simply put, our ability to assist you is directly related to the quality of information we receive from you.

Finally, because your results will be provided via email and phone we can only help you if you provide us with a valid phone number and e-mail address. If you are not comfortable providing us with this information then we will be unable to assist you.

Customer Testimonials

Thank you so much. After submitting my request, I received several calls right away. I sincerely appreciate how fast you responded. I have now connected with the proper people to take care of my needs. Thank you.

-- C.R. in Texas

I just can't tell you what a tremendous blessing your business has been to me! I got a call from the absolutely PERFECT caregiver within one minute-literally-of clicking the 'Submit' button on your request form! You're flawlessly prompt, professional and personal service is a rare commodity indeed in today's marketplace. I couldn't be a more satisfied client!

-- P.A. in North Carolina

needs information Contact Information
Please provide the following information for the person completing the needs survey and requesting results.

Salutation:
First Name:
Last Name:
Primary Phone: - -   Ext.  Required field
Secondary Phone: - -   Ext. 
Email:
Zip Code:
Best time to call:


    Please provide the location for the service(s) or product(s) to be provided:
  City:   State:   Zip:  


How many hours of care per week do you think the care recipient might need?
(Please select one)
NOTE: For budgeting purposes, average costs per hour generally range from $20 to $30
  Hours per week:   Required field


  Please select any services that you believe are required for the Care Recipient:
(Please select all that apply) Required field


I understand that many home care services and products are not covered by insurance, Medicare, Medicaid or public assistance. I understand that I may need to pay “out-of-pocket” for some or all services requested.

Most of our partners require private pay for some or all services. Please check the box to acknowledge that you may be required to pay for some or all services.

I have read and accept the attached Terms of Use and hereby authorize QuinStreet, Inc. ("QuinStreet"), or any other party operating the ElderCarelink.com site (the "Site") on behalf of QuinStreet, to submit and share information I have posted on the Site through the needs survey and/or other means to any contracted provider in accordance with the Terms of Use. I recognize that I have been informed throughout this Site and through the Terms of Use of all disclosures required by law regarding the business relationship between QuinStreet or this Site and its participating providers. I further acknowledge that this authorization will remain effective unless I notify QuinStreet in writing of the revocation of this authorization at the following address: ElderCarelink,c/o QuinStreet, Inc., Attn: General Manager, ElderCarelink, 1051 E. Hillsdale Blvd., 8th Floor, Foster City, CA 94404. I further acknowledge that the information provided by me is accurate and complete.

Must read "Terms of use", and accept if you agree.