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SERENITY SENIOR HOME SAFETY SOLUTIONS
769-237-1521
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Thank you for joining our effort to help mature adults and caregiving families feel safe, comfortable and prepared for the future.
Name of Referrer
Referrer Email
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Company name
I am interested in learning more for...
I am interested in learning more for....
Myself and / or others who also live in my home.
A friend or family member who does not live with me.
Clients I work with professionally.
Other
First and last name of person being referred.
Phone
Email of person being referred
What services are you referring this person/family for?
Descriptions can be found on the Services webpage.
What services are you interested in or do you have questions about? Descriptions can be found on the Services webpage.
Home Safety Evaluation
Memory Home Safe Preparation
Safety Device Installation
Contractor Management
Regular Home Maintenance Support
Concierge Care (Errands, Tasks)
Please provide additional information that may help us serve your client better.
Thank you for your referral. Please reach out if you have any questions.
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