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Chiangmai Home Care บริการจัดหาเจ้าหน้าที่ดูแลผู้ป่วย/ผู้สูงอายุ จัดส่งตรงถึงบ้านของท่าน
Chiangmai Home Care รับจัดหา ,ผู้ดูแล, ผู้ป่วย, ผู้สูงอายุ ,เชียงใหม่, เชียงใหม่โฮมแคร์, Provide, caregiver, elder, chiangmai, chiangmaihomecare
Home
Services
Services Step
Q&A
Medical Equipment
Partnership
Contact Us
Home
Services
Services Step
Q&A
Medical Equipment
Partnership
Contact Us
Register Online
Chiangmai Home Care Register Online
Name - Surname of patient
*
Age
*
Address
*
Symptom/Chief complain
*
Underlying deisease
*
Kind of patients
*
patient/Elderly
Assisted patient
Independent/Bed ridden patient
Post-operation patient
Other care equipments
*
NG tube
Foley’s catheter
Colostomy / urostomy
Others (please specify)
Patient relative name
*
Be related to
*
Phone Number
*
General requirements
*
Monthly
Daily
8 hours care
12 hours care
Others (please specify)
Daily care request
Hours of work (Please specify)
*
am. or pm.
To
*
am. or pm.
Summary
*
Hour
Day off (Please specify)
Week
*
Day
What day to stop?
*
Date of Work
*
Caregiver request
*
Male
Female
N/A
Caring requests
*
Hand-on activities of daily living (assisting with bathing/dressing)
Medication reminders
fasting blood sugar
Personal hygiene and toileting
Wound care in case of bedsore
Preparation and consumption of food / cleaning up feeding tube
Blood pressure test
Medicine preparation
Assisting in sitting, standing, and walking/ Transfer & Ambulati
Sputum aspiration (Suction)
Others (please specify)
Welfare
Food
*
include meal for caregiver
not include meal for caregiver
Accommodation
*
Stay with the employer
Do not stay with the employer.
Other requests (Please specify)
Submit
