Request care

Answer a few quick questions. A care coordinator will call to talk through next steps.

Company website

Who needs care?

Choose the one that fits best.

MeMy parentMy childMy spouse or partnerA veteran in my familySomeone else

How old is the person who needs care?

This helps us match the right nurse or caregiver.

Child (under 18)Adult (18 to 64)Older adult (65 or older)

What kind of help are you looking for?

Choose all that apply. Not sure? Choose “Help me decide.”

Homemaker ServicesHome Health AidePrivate Duty NursingPediatric NursingCaregiver ServicesVeterans CareHelp me decide

Where will care take place?

We serve Cook, DuPage, Lake, Kane, Will and Winnebago Counties.

Cook CountyDuPage CountyLake CountyKane CountyWill CountyWinnebago CountyNot sure

When would you like care to start?

We will give you a realistic start date when we talk.

As soon as possibleWithin 2 weeksWithin a monthI am just exploring

How should we contact you?

We will only use this to talk with you about care.

Your name

Phone

Email (optional)

How should we reach you?

Phone callText messageEmail

Please do not include medical details here. We will talk about health needs privately, by phone.

Prefer to talk? (312) 224-1001

Home care for children, veterans, older adults and adults of all ages across Cook, DuPage, Lake, Kane, Will and Winnebago Counties.

Because we care, “expect the exceptional.”

Services

Serving Cook, DuPage, Lake, Kane, Will and Winnebago Counties, Illinois.

Request Care | Niklife Home Care