Request a Care Plan

All fields marked * are required. We keep your information private and HIPAA-compliant.

First Name *

Last Name *

Phone Number *

Email Address *

Relationship to Patient *

Type of Care Needed *

Service Area *

Insurance / Payment

Tell us more about your care needs

By submitting this form, you agree to our Privacy Policy and HIPAA Notice.

Office Phone

(412) 592-4751

proximahomehealthcare@gmail.com

Main Office

600 Rosewood St
Belle Vernon, PA 15012

Monday – Friday	9:00 AM – 5:00 PM
Saturday – Sunday	Office Closed
Scheduled Care	May extend beyond office hours

We review your request

Within one business day, a care coordinator will review your needs.

We contact you

We'll call or email to discuss care options and answer your questions.

In-home assessment

A nurse visits to complete a care assessment at no charge.

Care begins

We match you with the right caregiver and your care plan starts.

Ready to bring care home? Let's talk.