DISCLAIMER
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I AGREE — These conversations do not replace medical or legal advice but provide a wealth of experience and information to help families transition into their new roles in caring for loved ones with dementia, as well as elder care professionals assisting families. An ElderConsult Educator will address your questions and offer their extensive experience to provide solutions.
30-minute Session Fee:
$100
TeleHealth Information
Alexandra Morris
Date
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Month
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Day
Year
Date
Contact Person's Name
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First Name
Last Name
Contact Person's Phone Number
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Area Code
Phone Number
Contact Person's Email
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example@example.com
Contact's Person's Relationship to Elder
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Elder's Name
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First Name
Last Name
Elder's Place of Residence / City / State
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Briefly Summarize the Issue / Concern / Situation That You Want to Discuss
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What do You Expect from the Session? What are Your Goals?
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Please Verify That You are Human
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Submit for Registration
FOR QUESTIONS CALL 650.357.8834 EXT 4
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