Elder Options

Were care is needed:

County:  County Alachua Baker Bay Bradford Brevard Broward North Broward Central & South Calhoun Charlotte Citrus Clay Collier Columbia DeSoto Dixie Duval Escambia Flagler Franklin Gadsden Gilchrist Glades Gulf Hamilton Hardee Hendry Hernando Highlands Hillsborough Holmes Indian River Jackson Jefferson Lafayette Lake Lee Leon Levy Liberty Madison Manatee Marion Martin Miami-Dade Monroe Nassau Okaloosa Okeechobee Orange Osceola Palm Beach - North PGA Palm Beach - Central Palm Beach - South Gateway Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Union Volusia Wakulla Walton Washington

Information About Loved One:

Loved One's Name: 

Age: 

Gender:  Male  Female

MOBILITY

 Capable of moving about independently. Able to seek and follow directions. Able to evacuate independently in case of emergency

 Ambulatory with cane or walker. Independent with wheelchair but needs help in emergency.

 Requires occasional assistance to move about, but usually independent.

 Mobile, but may require assistance due to confusion, poor vision, weakness or poor motivation.

 May require assistance when transferring from bed, chair or toilet.

 Requires transfer and transport assistance. Requires turning in bed and in wheelchair.