dayton-texas.synergyhomecare.com
Open in
urlscan Pro
2606:4700:10::6816:289a
Public Scan
URL:
https://dayton-texas.synergyhomecare.com/
Submission: On February 25 via api from US — Scanned from US
Submission: On February 25 via api from US — Scanned from US
Form analysis
2 forms found in the DOMPOST /#gf_1
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" action="/#gf_1" data-formid="1">
<div class="gform-body gform_body">
<ul id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_1" class="gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_1"><label
class="gfield_label gform-field-label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_1_1"> <span id="input_1_1_3_container"
class="name_first gform-grid-col gform-grid-col--size-auto"> <input type="text" name="input_1.3" id="input_1_1_3" value="" aria-required="true"> <label for="input_1_1_3" class="gform-field-label gform-field-label--type-sub ">First</label>
</span> <span id="input_1_1_6_container" class="name_last gform-grid-col gform-grid-col--size-auto"> <input type="text" name="input_1.6" id="input_1_1_6" value="" aria-required="true"> <label for="input_1_1_6"
class="gform-field-label gform-field-label--type-sub ">Last</label> </span></div>
</li>
<li id="field_1_2" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_2"><label class="gfield_label gform-field-label"
for="input_1_2">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email"> <input name="input_2" id="input_1_2" type="text" value="" class="large" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_1_3" class="gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_3"><label class="gfield_label gform-field-label"
for="input_1_3">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_3" id="input_1_3" type="text" value="" class="large" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_1_5" class="gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_5"><label
class="gfield_label gform-field-label" for="input_1_5">Zip Code Where Services are Needed<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_5" id="input_1_5" type="text" value="" class="large" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_1_4" class="gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_4"><label class="gfield_label gform-field-label"
for="input_1_4">Message</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_4" id="input_1_4" class="textarea medium" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_1_6" class="gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_6"><label class="gfield_label gform-field-label"
for="input_1_6">CAPTCHA</label>
<div id="input_1_6" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LfqdCUbAAAAAOTevBPUXawc6pIMqxukrywH7qR5" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-10jdimkqvfvw" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LfqdCUbAAAAAOTevBPUXawc6pIMqxukrywH7qR5&co=aHR0cHM6Ly9kYXl0b24tdGV4YXMuc3luZXJneWhvbWVjYXJlLmNvbTo0NDM.&hl=en&v=1kRDYC3bfA-o6-tsWzIBvp7k&theme=light&size=normal&cb=qo07lb9y7zpg"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</li>
<li id="field_1_7" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible" data-js-reload="field_1_7"><label
class="gfield_label gform-field-label" for="input_1_7">Name</label>
<div class="ginput_container"><input name="input_7" id="input_1_7" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_1_7">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Submit"
onclick="if (!window.__cfRLUnblockHandlers) return false; if(window["gf_submitting_1"]){return false;} window["gf_submitting_1"]=true; "
onkeypress="if (!window.__cfRLUnblockHandlers) return false; if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} window["gf_submitting_1"]=true; jQuery("#gform_1").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=1&title=&description=1&tabindex=0&theme=data-form-theme='legacy'"> <input type="hidden" class="gform_hidden" name="is_submit_1" value="1"> <input type="hidden"
class="gform_hidden" name="gform_submit" value="1"> <input type="hidden" class="gform_hidden" name="gform_unique_id" value=""> <input type="hidden" class="gform_hidden" name="state_1"
value="WyJbXSIsIjIwODYwMzQxMTA3OGFjZTMyOGNlYzg4OGUzNGYwYzJmIl0="> <input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="0"> <input type="hidden" class="gform_hidden"
name="gform_source_page_number_1" id="gform_source_page_number_1" value="1"> <input type="hidden" name="gform_field_values" value=""></div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js" value="1708879074870">
<script type="text/javascript">
document.getElementById("ak_js_1").setAttribute("value", (new Date()).getTime());
</script>
</p>
</form>
POST //translate.googleapis.com/translate_voting?client=te
<form id="goog-gt-votingForm" action="//translate.googleapis.com/translate_voting?client=te" method="post" target="votingFrame" class="VIpgJd-yAWNEb-hvhgNd-aXYTce"><input type="text" name="sl" id="goog-gt-votingInputSrcLang"><input type="text"
name="tl" id="goog-gt-votingInputTrgLang"><input type="text" name="query" id="goog-gt-votingInputSrcText"><input type="text" name="gtrans" id="goog-gt-votingInputTrgText"><input type="text" name="vote" id="goog-gt-votingInputVote"></form>
Text Content
Skip to content (832) 581-4343 SYNERGY HOMECARE OF DAYTON 4.5 Read our 41 reviews (832) 581-4343 We’re open 24/7. Call anytime. FIND CARE * Name* First Last * Email* * Phone* * Zip Code Where Services are Needed* * Message * CAPTCHA * Name This field is for validation purposes and should be left unchanged. Δ THERE ARE SO MANY WAYS WE CAN LEND A HAND EXPLORE OUR IN-HOME CARE SERVICE OPTIONS SENIOR CARE & COMPANIONSHIP Learn more SPECIALIZED CARE FOR ALL AGES & ABILITIES Learn more HOSPITAL-TO-HOME CARE Learn more MEMORY CARE Learn more SENIOR IN-HOME CARE & COMPANIONSHIP From personal assistance with bathing and dressing, to senior companion care to fight isolation and loneliness, to support with housekeeping, errand and transportation services, sometimes just a little extra help at home can make all the difference. We also offer round-the-clock, live-in care for those who need that extra level of support in the comfort of their own home. LEARN MORE SPECIALIZED HOME CARE Our specialized home care services help propel people of all ages and abilities toward a happier, healthier and safer quality of life at home. * Disability Care * Cancer Care * Alzheimer’s and Memory Care * Parkinson’s Care * End-of-life Comfort Care * Neuromuscular Care * Stroke Recovery Care * Post Surgical Care * Diabetes Care * Arthritis Care * Nurturing Care for New or Expectant Moms LEARN MORE HOSPITAL-TO-HOME CARE Quality care following discharge from a hospital, rehabilitation center or other facility is crucial for a smooth transition and successful recovery. From post-surgery and hospital discharge care to care for new moms, our ConciergeCare program provides personalized and attentive transitional care focused on your safety, healing and recovery in the comfort of your home. LEARN MORE MEMORY CARE When your loved one has been diagnosed with Alzheimer’s Disease or another form of dementia, understanding the disease and identifying the right family caregiver resources and support can leave you feeling overwhelmed and stressed. We’re here to help you navigate through uncharted waters and create peace of mind in caring for your loved one experiencing dementia or memory loss. Our person-centered Convergence of Care model brings together the best tools and resources, along with caregiver talents and specialized training, to deliver a customized Memory Care solution for your family. LEARN MORE DOWNLOAD FREE FAMILY CAREGIVER RESOURCES MEMORY CARE GUIDE HOSPITAL-TO-HOME GUIDE FALL PREVENTION GUIDE GET AWARD-WINNING HOME CARE 2015 – 2023 TUCSON PROVIDER OF CHOICE SYNERGY HomeCare of Tucson is nationally recognized for our ability to provide outstanding care. We are proud to have earned the distinction as a Home Care Pulse Provider of Choice for nine consecutive years. The Provider of Choice Award is granted only to top-ranking home care providers, based on client satisfaction scores gathered by Home Care Pulse, an independent satisfaction research firm. (832) 581-4343 © 2024 SYNERGY HomeCare. All Rights Reserved. Each SYNERGY HomeCare franchise office is independently owned and operated. Notifications Original text Rate this translation Your feedback will be used to help improve Google Translate ▼