Contact

Talk to a care advisor today

Call any time, day or night. Or book a short consultation below and we'll follow up to confirm a time.

Full applications

Ready to start a full application instead of a consultation request?

Family & Client Intake Aide Employment Application

Call us

(646) 894-4166

Email us

care@ultracarefamilywellness.info

Visit us

147 Front Street, Unit 9 & 13 Brooklyn, NY 11201

Hours

Care advisors available 24/7

Office Mon–Fri 9am–6pm

Areas we serve

BronxBrooklynManhattanQueensStaten IslandNassau County

Coverage depends on program and staffing availability — call to confirm your address.

Book a Home-Care Consultation

Tell us about the client and the best way to reach you. A short request — not a full application.

This form is not for emergencies. Call 911 for emergencies. Submitting is only a request and does not guarantee an appointment time, eligibility, increased hours, caregiver approval, or employment. Full applications live at /apply/intake for families and /apply/employment for aides.

Consultation type

What is this consultation about?

Appointment type

Step 01

Client information

Client full name*

Date of birth*

Client phone*

Preferred language

Borough*

Medicaid status

Insurance / MLTC plan

Already has home care?

Current agency

Current hours per week

Client address

What help does the client need?*

Step 02

Your information

Your name*

Relationship to client*

Your phone*

Your email

Preferred appointment date*

Preferred time window*

How should we contact you?

Family caregiver interested?

I consent to being contacted by phone, text or email about this consultation request.I understand this is only a request and does not guarantee an appointment time, eligibility, increased hours, caregiver approval, or employment.