Contact form

<h3>Know A Veteran?</h3>
<p>Do you know a Veteran or surviving spouse who would benefit from our personalized in home care services? Contact us through the form or contact us at 484-816-7279. We assist VA Aid and Attendance beneficiaries through matching them with professional care.</p>

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<h2 style="white-space:pre-line">Qualifying for care</h2>
<p>At Like Mine Home Care Agency, LLC, we are partnered with Vet Assist to screen our clients. Please fill out the from below and email it to <a href="mailto:referrals@veteranshomecare.com">referrals@veteranshomecare.com</a> when complete. </p>
<p><a href="https://drive.google.com/file/d/1kbzDNB3Pfv7ZCXzONwg-KPhkNlMfHyvV/view?usp=sharing">Download Vet Assist Form Here</a></p>
<p>Fill out under the agency: "Like Mine Home Care Agency LLC"</p>
<p>Fill out under the address: 2722 N. Hancock Street, Suite 305</p>
<p>If you need assistance with filling out this form, please contact us through the form above.</p>