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Request Care Services
Complete this form to request information about care services from Habib's Healthcare Services LLC. A member of our team will review your request and contact you to discuss your needs, service availability, eligibility, and the next steps.
This form is for preliminary service inquiries and is not a final admission agreement or guarantee of services.
Important Service Availability Notice
Habib's Healthcare Services LLC is currently in the licensing process and is not yet providing home care services. Our application for licensure is pending approval by the appropriate Pennsylvania licensing authority.
You may still complete and submit a Request for Services application. Your information will allow our team to understand your anticipated care needs and contact you regarding potential services once the agency is legally authorized and operational.
Submission of this application does not guarantee acceptance, admission, availability of services, or a specific start date. No home care services will be provided until Habib's Healthcare Services LLC has received all required authorization to operate and all applicable admission requirements have been completed.
All submitted information is stored securely and used only to process your care services request.