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Tell us Your care requirements

Please share the details of the type of care you require.

Our team will post your job to our carer community. Carers can then apply directly for you to review and interview.

Care recipient name & other details

First name of care recipient

Last name of care recipient

Postcode of care recipient

Age of care recipient

Location

Title

Anonymous User

What type of care do you require?

Selected

Hourly Day

Sleeping Night

Waking Night

Part Time 24hr. Live-in

Full Time Weekly Live-in

Please let us know the hours you need so we can match your needs to available carers

DayMorning(hrs.)Afternoon(hrs.)Evening(hrs.)

Monday

Morning(hrs.)

Afternoon(hrs.)

Evening(hrs.)

Tuesday

Morning(hrs.)

Afternoon(hrs.)

Evening(hrs.)

Wednesday

Morning(hrs.)

Afternoon(hrs.)

Evening(hrs.)

Thursday

Morning(hrs.)

Afternoon(hrs.)

Evening(hrs.)

Friday

Morning(hrs.)

Afternoon(hrs.)

Evening(hrs.)

Saturday

Morning(hrs.)

Afternoon(hrs.)

Evening(hrs.)

Sunday

Morning(hrs.)

Afternoon(hrs.)

Evening(hrs.)

Nights Start Time and End Time

Monday

Start Time

To

End Time

Tuesday

Start Time

To

End Time

Wednesday

Start Time

To

End Time

Thursday

Start Time

To

End Time

Friday

Start Time

To

End Time

Saturday

Start Time

To

End Time

Sunday

Start Time

To

End Time

NightsStart Time and End Time

Monday

Start Time

To

End Time

Tuesday

Start Time

To

End Time

Wednesday

Start Time

To

End Time

Thursday

Start Time

To

End Time

Friday

Start Time

To

End Time

Saturday

Start Time

To

End Time

Sunday

Start Time

To

End Time

Which Days?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Is the care

Selected

Ongoing

Fixed Period

When would you like the care to start

When would you like the care to start

Selected

Immediately

Not Sure

Specific Date

Date

What support do you need help with?

Companionship

Cooking

Housekeeping

Transportation

Shopping

Exercise

Gardening

Looking after pets

Dressing / undressing

Bathroom Assistance

Medication prompting

Personal grooming

Eating and drinking assistance

Moving and handling

Driving (own car)

Driving (car provided)

Hoisting

Continence care

Catheter care

Stoma care

Job Description

Any other specific care requirements, likes, dislikes or instructions??

Are you the person receiving care?

Your First Name

Your Last Name

Your Email

Password

Your Mobile Number

I confirm that I have read and understood both Curam’s Terms & Conditions and its Privacy & Cookie Policies , including those with regard to the storage and use of personal data relating to the implementation of GDPR in May 2018.

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Contact

client@curamcare.com

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