Please complete this brief eligibility assessment by telling us about the home care services you’re looking for, your insurance type, and your contact details. Once submitted, we’ll confirm your eligibility & match you with the most appropriate SafeLife support team. A Care Coordinator will be in touch within one business day to guide you next.
Eligibility Form
Answer a few quick questions so we can confirm eligibility and match you with the right Safe Life services.
For Home Health Services
Call us at
630-406-9342
For Home Care and Private Duty Services
Call us at
855-723-3440
or email
info@safelifehomehealth.com
Your questions are always welcome
Ready to Begin?
Want to find out if you or a loved one qualifies for CCP?