CONTACT US

Corporate Headquarters

A-1 Domestic Professional Services, Inc.
A-1 Home Care Agency
A-1 Caregiver Agency
12631 Imperial Hwy, Suite F-104
Santa Fe Springs, CA 90670
(562) 929-8400

Phone Numbers

Arcadia
Beverly Hills
Diamond Bar
Encino
Newport Beach
Torrance

(626) 287-0250
(310) 657-8780
(909) 861-7700
(818) 980-0094
(949) 515-5111
(310) 366-7964

Fax

(562) 929-8336

Email

General Information
A1Agency@msn.com
Billing Inquiries
Billing@A-1Domestic.com
Marketing & Promotions
Administration@A-1Domestic.com
Employment Opportunities
Account@A-1Domestic.com
Questions & Concerns
A1Agency@msn.com

To contact us for Non-medical Home Care Services, including: Elderly Care, In-Home Care, Certified Home Care Aides and Live-In Caregivers, please use the form below.

Contact Information:

Name

Relationship to
Care Recipient:

Address

E-Mail

Home Phone

Cell

Work

Comments

Living Situation of Care Recipient:

Lives in Own Home	With Family Member	Senior Apartment
Assisted Living Community	Nursing Home	Currently Hospitalized

Service Specifications:

Laundry / Linen Change	Meal Preparation	Light Housekeeping
Companionship / Entertainment	Health / Personal Care	Bathing / Hygiene Mgt.
Toileting / Incontinence Care	Dressing / Grooming	Safety Supervision
Medication Reminder	Eating Assistance	Feeding Tube
Excercise / Range of Motion	Recreational Activities	Lifting / Transferring
Ambulation (walking assistance)	Alzheimers / Dementia	Mail / Bill Organization
Personalized Errands	Transportation to Medical and Social Appointments
Pet Care
Type and number of pets:

Caregiver Specifications:

Gender

Male

Female

Driving required

Car needed

Language

English Speaking

Spanish Speaking

Other Language:

Hours Needed /
Schedule & Other
Caregiver Comments

Referral Method:

Internet

Flyer / postcard

YellowPages

Hospital / Facility:

Social Worker:

Other:

“It Takes Two Helping Hands and a Golden Heart to Serve Others®”