Inquiry Form for Private Care 305 Miami

Inquiry Form for Private Care 305 Miami

Please fill out the details below to schedule your appointment.
Full Name*

First NameLast Name
Email*
Phone Number*
Please enter a valid phone number.
Date Of Birth*

MonthDayYear
Date
Procedure
Clinic Name
Appointment/Surgery Date*

MonthDayYear
Date
Build Your Own Package

Built Your Own Package (Click all what applies)
4 hrs care 2256 hrs care 3258 hrs care 4252 x IV (Vitamin cocktail AND Iron) 5501 x IV (Vitamin cocktail OR Iron) 3002 x Massages 2754 x Massages 525Enter Amount Of Day And Hrs Required
How Many Days Of Care*
Transportation (Only provided with/during care. Cannot be purchased separately)*
🌟 Private PCT Nurse Services Included

Professional, Reliable, and Caring Support for Your Recovery

✅ Post-Operative Assistance
• Monitor vital signs (BP, heart rate)
• Help with mobility & walking
• Drain care and assistance with dressings
• Reminders for medications

✅ Cosmetic Surgery Recovery Support
• Assistance after BBL, liposuction, tummy tuck, breast surgery’s
• Compression garment assistance

✅ Personal Care Support
• Bathing and hygiene assistance 🚨(ONLY AVAILABLE DURING SERVICE HOURS )🚨
• Changing clothes and light laundry help 🚨(ONLY AVAILABLE DURING SERVICE HOURS🚨
• Bedside assistance for comfort

✅ Daily Living Help
• light Meal preparation

• light housekeeping 🚨(NOT AVAILABLE TO POST-COSMETIC SURGERY) 🚨
• Accompany to follow-up appointments

✅ Companionship Services
• Emotional support and check-ins
• Friendly presence during your healing process

⚠️ Any parking fees incurred during the service will be the guest's responsibility
Prices will be sent upon completion on the form
Comments
Signature*

First NameLast Name
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Inquiry Form for Private Care 305 Miami

Build Your Own Package