Senior Living Consultants: A Free Referral and Placement Agency

Explore Your Options From A Credible Source

San Luis Obispo: (805) 545-5901
Santa Barbara: (805) 963-6045
San Diego: (619) 795-4575 
Home About Us Housing Options FAQ's Testimonials Links Contact Us
Contact Us
San Luis Obispo County
3165 S. Broad Street
Suite #114
San Luis Obispo, CA 93401
Phone: (805) 545-5901
Fax: (805) 545-5906
Toll Free: (888) 282-1902
Santa Barbara County
18 W. Micheltorena
Suite #C
Santa Barbara, CA 93101
Phone: (805) 963-6045
Fax: (805) 963-6046
San Diego County
4876 Santa Monica Avenue
Suite#220
San Diego, CA 92107
Phone: (619) 795-4575
Fax: (619) 795-4576

Fill out this form and submit, we will get back to you soon!

 

Resident Information
Assistance Needed:   Full Assistance    Some Assistance    No Assistance
Taking Medications
Preparing Meals
Dressing
Shaving, Hair Care
Bathing or Showering
Toileting
Eating

 
Current Living Situation
Walking Ability
Memory Loss
*Time Frame  
Resident Age

 
Resident First Name
Resident Last Name
Address
Street
City
State
Zip
*Monthly Budget: Minimum
 		Maximum

 
Additional Information:
What circumstances or events have occurred causing you to consider a senior housing?
 
Community Preferences
Care Type Needed:
  Assisted Living
  Retirement Community
  Nursing Home
  Alzheimer's Nursing Home
  Alzheimer's Assisted Living
  Adult Family Home
  Home Care
  Not Sure
Apartment Size: 
Studio
One Bedroom
Two Bedroom
Companion
Amenities & Services: 
Community Outings
Full Kitchen
Mini Kitchen
Pets Allowed
Resident Parking
Smoking
Walk-in Shower

Your Contact Information
*First Name    
*Last Name   Relation to Resident
                           
*Home Phone   Your Mailing Address
Address
City 
State Zip
Work Phone
 
Example: 505-555-1212
*E-Mail  
*How did you hear about us?
               		   Check this box if you would like to receive brochures from facilities in your area.
 

SAN LUIS OBISPO: (805) 545-5901   ·   SANTA BARBARA: (805) 963-6045   ·   TOLL-FREE (888) 282-1902

HOME | ABOUT US | HOUSING OPTIONS | FAQ’S | TESTIMONIALS | LINKS | CONTACT US
© Copyright 2010 Senior Living Consultants
Website by Joseph Gregory Design