Personalised Care Plan

Personalised Care Plan based on your needs

To create a care plan specific to your needs, tell me a bit about yourself and the challenges you face. Please be as detailed as possible.
Note:

The form you are about to fill out does not request any personal information that could put your privacy or security at risk. Only non-sensitive details are collected. All care plans serves the purpose of tailoring all the facts specifically to your situation and discussing the best options for you.
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Which country do you reside in? (This will help me recommend the right technology/resources)*
Which country does your loved one reside in? (This will help me recommend the right technology/resources)*

This part of the form is about you. We're nearly done.
Do you hold a Lasting Power of Attorney (LPA) for your loved one?

YesNo
Do you have the authority to install these devices in the home of the person you're caring for? (Permission may be required by the person that owns the home)

YesNoI don't know
If you are unsure or don't know, you will need to determine whether your country permits the installation of cameras in your loved one's home
Do you need step-by-step instructions for setting up technology (like cameras, etc.), or are you comfortable doing it yourself?

YesNoSomewhat
What is your primary concern regarding the well-being and care of the person you are looking after? (example: check on carers, medication reminders, appoint reminders, preparing food). Please be as detailed as possible.
If there is anything else you would like to add, please do so here.
If I am able to establish a care plan for you, I will send you an invoice for payment before beginning.

These consultations do not provide medical or health advice. All information shared is for general informational purposes and is not a substitute for professional guidance. My recommendations are based on my extensive experience caring for a parent with dementia from afar. Any purchases made for cameras or any other equipment following a consultation are solely at your discretion and risk. Dementia is a progressive condition that changes daily. Therefore, what works during a consultation may require adjustment within 2-3 weeks to suit evolving needs. By agreeing to the terms, you acknowledge and accept the above terms.
Should be Empty:

Personalised Care Plan based on your needs

Note:

This part of the form is about the person you're caring for.

This part of the form is about you. We're nearly done.

If I am able to establish a care plan for you, I will send you an invoice for payment before beginning.