Request for a Provider

Select Services Requested:

Specifics about the services and providers the individual is looking for. Information about the person, age, sex, personality, likes, dislikes. Does the individual prefer an agency provider or independent provider? What days and times will the individual need services? Is there any type of specific training I prefer my providers to have? Will the provider need to be able to provide transportation? If you are requesting therapy services, would they like those to be provided in your home or a clinic? Miles and time and days.