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Request a Home Safety Check

Families can use this form to connect with Care With A Heart for a supportive home safety review. Our goal is to offer a calm, reassuring look at your living environment, noticing potential risks early and sharing practical suggestions that help make daily routines safer and more comfortable. We’re here to help you create a home that feels steady, secure, and built with care.

Home Safety Request Details

Preferred Contact Method

Please share what led you to reach out for a safety check - if you're not sure how to explain your concerns, that's okay. Anything you tell us helps us come prepared and ready to help.

What areas would you like us to review?

WHAT HAPPENS NEXT:

We Review Your Request

We take a thoughtful look at the information you share so we can understand your concerns and get a sense of what’s happening in your home.

We Reach Out to Connect

A care coordinator will reach out to talk through your request, answer any questions, and make sure you feel supported from the very beginning.

We Schedule Your Safety Visit

We’ll work with you to find a convenient time for a home visit. During the safety check, our team will gently walk through the space, notice potential risks, and offer practical suggestions to help make daily routines safer and more comfortable.

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