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Patient Form

APPLICATION FOR SERVICE

GARDEN STATE MEDICAL HEALTHCARE is professional health care firm that has been providing home health care service for elderly and disable people. These service include: help with activates of daily living such as grooming, bathing, toileting, ambulation transfer, dressing, feeding, household tasks such as care of beneficiary’s room, care of kitchen and bathroom beneficiary’s laundry, shopping, meal preparation, etc.

Health related activities include exercise, assisting with self-medication and ambulation, emotional support.

GARDEN STATE MEDICAL HEALTHCARE  is licensed by the State of New Jersey Division of Consumer Affairs and Commission on Accreditation for Home Care (CAHC) and hire only the most dedicated, experienced and passionate certified home health aides and nurses.

If you are interest to receive PCA* of Long Term Care Services from GARDEN STATE MEDICAL HEALTHCARE please fill the following information: