{"id":42,"date":"2026-10-28T15:24:50","date_gmt":"2026-10-28T15:24:50","guid":{"rendered":"https:\/\/veawellcare.com\/?page_id=42"},"modified":"2026-10-28T15:24:50","modified_gmt":"2026-10-28T15:24:50","slug":"request-care","status":"publish","type":"page","link":"https:\/\/veawellcare.com\/?page_id=42","title":{"rendered":"Request Care"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Let&#8217;s Get Started With Your Care Needs<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At Veawell, we understand how important it is to find compassionate, dependable care for yourself or someone you love.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Whether you need companionship, assistance with daily activities, or additional support at home, we&#8217;re here to help you explore the right care options.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Please complete our care inquiry form, and a member of our team will contact you to discuss your needs and explain how Veawell can help.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Your comfort, dignity, and independence are our priority.<\/strong><\/p>\n\n\n<style id=\"wpforms-css-vars-43-block-d117e608-2819-4fd9-b8c7-5142456449cf\">\n\t\t\t\t#wpforms-43.wpforms-block-d117e608-2819-4fd9-b8c7-5142456449cf {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-d117e608-2819-4fd9-b8c7-5142456449cf wpforms-render-modern\" id=\"wpforms-43\"><form id=\"wpforms-form-43\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"43\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F42\" data-token=\"5010f1caa2115a859031fafba44b016c\" data-token-time=\"1793208909\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-43-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-43-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-43-field_1-error\" required><label for=\"wpforms-43-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-43-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-43-field_1-last-error\" required><label for=\"wpforms-43-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div>\t\t<div id=\"wpforms-43-field_5-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"5\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-43-field_5\" >Phone Email Us<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-43-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-43-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-43-field_2\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-43-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-43-field_2-error\" required><\/div><div id=\"wpforms-43-field_3-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-43-field_3\">Tell Us About Your Care Needs<\/label><textarea id=\"wpforms-43-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-43-field_3-error\" aria-describedby=\"wpforms-43-field_3-description\" ><\/textarea><div id=\"wpforms-43-field_3-description\" class=\"wpforms-field-description\">Please briefly describe the type of assistance you&#8217;re looking for. Do not include medical diagnoses or other sensitive health information.<\/div><\/div><div id=\"wpforms-43-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-43-field_4\">Phone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-43-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-43-field_4-error\" required><\/div><div id=\"wpforms-43-field_6-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"6\"><fieldset><legend class=\"wpforms-field-label\">Preferred Contact Method <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-43-field_6\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-43-field_6_1\" name=\"wpforms[fields][6]\" value=\"Phone Call\" aria-errormessage=\"wpforms-43-field_6_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-43-field_6_1\">Phone Call<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-43-field_6_2\" name=\"wpforms[fields][6]\" value=\"Email\" aria-errormessage=\"wpforms-43-field_6_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-43-field_6_2\">Email<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-43-field_6_3\" name=\"wpforms[fields][6]\" value=\"Phone call or Email\" aria-errormessage=\"wpforms-43-field_6_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-43-field_6_3\">Phone call or Email<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-43-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">What Services Do You Need?<\/legend><ul id=\"wpforms-43-field_8\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-43-field_8_1\" name=\"wpforms[fields][8][]\" value=\"Companion Care\" aria-errormessage=\"wpforms-43-field_8_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-43-field_8_1\">Companion Care<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-43-field_8_2\" name=\"wpforms[fields][8][]\" value=\"Light Housekeeping and Laundry\" aria-errormessage=\"wpforms-43-field_8_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-43-field_8_2\">Light Housekeeping and Laundry<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-43-field_8_3\" name=\"wpforms[fields][8][]\" value=\"Meal Planning and Preparation\" aria-errormessage=\"wpforms-43-field_8_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-43-field_8_3\">Meal Planning and Preparation<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-43-field_8_4\" name=\"wpforms[fields][8][]\" value=\"Transportation and Errands\" aria-errormessage=\"wpforms-43-field_8_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-43-field_8_4\">Transportation and Errands<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-43-field_8_5\" name=\"wpforms[fields][8][]\" value=\"Medication Reminders\" aria-errormessage=\"wpforms-43-field_8_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-43-field_8_5\">Medication Reminders<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-43-field_8_6\" name=\"wpforms[fields][8][]\" value=\"Appointment Reminders\" aria-errormessage=\"wpforms-43-field_8_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-43-field_8_6\">Appointment Reminders<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-43-field_8_7\" name=\"wpforms[fields][8][]\" value=\"Other Non-Medical Assistance\" aria-errormessage=\"wpforms-43-field_8_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-43-field_8_7\">Other Non-Medical Assistance<\/label><\/li><\/ul><\/fieldset><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-43-field_5-container { position: absolute !important; 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Whether you need companionship, assistance with daily activities, or additional support at home, we&#8217;re here to help you explore the right care options. Please complete our care inquiry form, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-42","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/veawellcare.com\/index.php?rest_route=\/wp\/v2\/pages\/42","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/veawellcare.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/veawellcare.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/veawellcare.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/veawellcare.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=42"}],"version-history":[{"count":1,"href":"https:\/\/veawellcare.com\/index.php?rest_route=\/wp\/v2\/pages\/42\/revisions"}],"predecessor-version":[{"id":51,"href":"https:\/\/veawellcare.com\/index.php?rest_route=\/wp\/v2\/pages\/42\/revisions\/51"}],"wp:attachment":[{"href":"https:\/\/veawellcare.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}