Concierge Visits · online request

Request a little help at home.

The listed Concierge Visit charge is $150 for up to three hours, plus $50 per additional hour. Cancellations need at least 12 hours’ notice. Recorded caregiver availability and SMS replies are not connected online, so saved requests are sent to the office for manual follow-up. If delivery fails, the form will ask you to contact the office directly. This request form takes no payment and does not confirm a visit.

A single-visit request

Tell us what would help.

Share the person, place, time, and support details for the requested shift.

Your contact details

Your full name

Email address

Phone number

Name of the person receiving support

Your relationship to them

Where and when

Street address

Town or city

State

ZIP code

Requested date

Requested start time (Eastern)

Visit duration in hours

Three hours minimum. Additional hours are $50 each.

Concierge Visit gift certificate code (optional)

A paid Concierge Visit certificate's available value is applied toward the requested charge. Buying a certificate alone does not request or confirm a visit.

TransportationThe client needs transportation for this visit.

Transport requests need office follow-up and remain unconfirmed while caregiver identity, driving-document review, and assignment records are unavailable online.

Care details for the shift

What support would be helpful during this visit?

A few practical details help the office review the request.

Before sending your requestI understand this is a request, not a confirmed visit. A caregiver must accept the shift before it is confirmed.I understand this request does not collect or authorize a card, and it is not confirmed.I understand cancellations require at least 12 hours’ notice.

Requested Concierge Visit charge$150

Concierge Visits

Convenient to request. Pending until accepted.

Submit a visit request online. Eligible-caregiver matching and acceptance are not connected here, so this form cannot confirm coverage or authorize a card payment.

Quoted charge · up to three hours$150+$50 for each additional hour

Requested times use Eastern Time.
Please allow 12 hours’ notice for cancellations.
Serving Smithtown and surrounding Suffolk and Nassau communities.

Caregiver availability and SMS offers are unavailable online.

We have no recorded caregiver availability or SMS reply capability, so this form cannot offer or confirm coverage. We send saved requests to the office for manual follow-up; if delivery fails, we will ask you to contact them directly. No card details are collected or payment made. Contact the office before relying on a visit.

Email the office