FULL CARE ASSESSMENT
Tell Us More About Your
Family’s Situation
This assessment gives a Seniority DFW advisor a clearer understanding of the senior’s current living situation, general support needs, preferred location, budget, and timeline.
Share only the information needed to begin the senior living conversation.
Clarification: This is a non-clinical senior living assessment. It does not diagnose conditions, determine a clinical level of care, or replace an assessment by a healthcare professional or senior living provider.
What You Will Need
- Your contact information
- The senior’s first name
- The senior’s current living situation
- General mobility, memory, and support concerns
- Preferred city or area
- Estimated monthly budget
- General timeline
- Hospital or rehabilitation information, when applicable
Privacy Notice
Do not enter Social Security numbers, insurance identification numbers, financial account details, full medical records, detailed medication lists, or other highly sensitive information.
Emergency Notice
Seniority DFW is not an emergency or medical service. Call 911 for immediate medical or safety emergencies.