Placement | Tendertouchresources

Tender Touch Resources

A Placement Agency for Seniors

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Placement Questionnaire

Please fill out the following form for placement information.

First Name

Email Address

Last Name

Phone

Is the request for yourself or a family member?

For myself

Family Member

Other

Means to pay for care:

Private Pay

Long Term Care Insurance

Already ALTCS Approved

Need help bridging the gap for ALTCS

Is the patient residing at:

Thier own home

At hospital

Rehabilitation Center

Placement needed

ASAP

1-2 weeks

1 month

Just looking for information

Please enter a medical diagnosis and description of patients needs.

Thanks for submitting!

Tender Touch has been serving Arizona Valley Wide since 1999, free of charge.

Melissa Bates, Executive Director

Contact:

(480) 221-3464

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