Grace Community Services

Consumer Notices & Forms

consumers

Welcome To Grace Community Services

We’re glad you have chosen to use our in-home non-medical care services. Every family's situation is unique; therefore, we are committed to providing quality service by qualified individuals, coordinated by our care coordinators.

Rest assured your loved one is being taken care of by compassionate and licensed caretakers. We've prepared all the information you need for your review. Please download the following files for your records.

services

Consumer Intake To Fill

Form must be completed in its Entirety. Download and Save for your Records.

what's next

Consumer Notices To Fill

Patient Consent for use & Disclosure of protected health information

Consumer Privacy Notice

Notice of Direct Care Worker Status

Equal Opportunity & Non-Discrimination Statement

Contact us

Let’s start the conversation

Partner with Philadelphia’s trusted private-duty senior care agency. Contact Grace Community Services today to discuss how we can support your loved one.

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