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In-Home Senior Care In Wingate, NC

Ageing is a journey of grace and memories. At Annasus Companion Care, we ensure that seniors in Wingate, NC, cherish every moment in the comfort, safety, and love of their homes.

(704) 233-7433
(704) 221-7354
susanh@annasus.org
3901 US-74, Wingate, NC 28174, United States

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Name

Address

Email

Phone Number

What care do you need?

Medical history:

Emergency Contact Name

Emergency Contact Phone

DNR Active?

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Primary care physician name:

Primary care physician phone:

Primary care physician address:

Advanced care directives in place?

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Do you have a power of attorney?

Yes No

If Yes, provide power of attorney name:

Power of attorney phone:

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