TLCH may be perfect for your parents

Please answer the following questions to help us determine if TLCH is a right place for your parent.

Does the resident need assistance with any of the following?
 

Bathing
Dressing
Medications
 

What is the age of the resident?
 

 

Are you looking for accommodations for a couple?
 

Yes, I would prefer to find accommodations for a couple.
 

Does the resident use a cane, walker or wheelchair?
 

Yes, they use a cane or a walker.
Yes, the use a wheelchair.
 

Does the resident show any cognitive impairments?
 

They show some short-term memory loss.
They have been diagnosed with Alzheimer's disease
     or another form of dementia.
They may be at risk of wandering from a facility.
They are loud and verbally or physically abusive.
They often require care at night.
 

Is the resident diabetic?
 

Yes, they are diabetic.
 

If they have diabetes, how do they manage it?
 

Medications
Special Diets
Insulin injections
 

Do they have any of the following medical conditions?
 

They need oxygen.
They need injections other than insulin.
They are blind or have substantial loss of sight.
They are deaf or have substantial loss of hearing.
They have Parkinson's disease.
 

What type of room are you looking for?
 

Private room
Female Semi-Private
Male Semi-Private
 

Please enter your name:
 

 

What is the name of the resident?
 

 

What's your relationship to the resident?
 

 

Primary phone number:
 

 

Please enter your email address:
 

 

Please provide any other pertinent contact information: