Begin Your Care Journey

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

For Home Care and Private Duty Services

Call us at
or email

Your questions are always welcome

Ready to Begin?

Want to find out if you or a loved one qualifies for CCP?