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Submitted URL: https://www.whichcare.org/
Effective URL: https://lifecare.org/which-care-is-right/
Submission: On August 01 via api from US — Scanned from US
Effective URL: https://lifecare.org/which-care-is-right/
Submission: On August 01 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
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<h3 class="gf_progressbar_title">Step <span class="gf_step_current_page">1</span> of <span class="gf_step_page_count">3</span></h3>
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<div class="gf_progressbar_percentage percentbar_blue percentbar_33" style="width:33%;"><span>33%</span></div>
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<h3>You don’t have to take this journey alone.</h3>
<p>We understand that finding the best care option can be confusing. Therefore, we've created this simple assessment to help you determine whether hospice or palliative care is the right choice for you or your loved one. If you have
additional questions, you can always call us at <a href="tel:800.207.6908">800.207.6908</a> to get answers quickly. We service select counties in North Carolina and South Carolina.</p>
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<option value="Columbus County, NC">Columbus County, NC</option>
<option value="Horry County, SC">Horry County, SC</option>
<option value="Marion County, SC">Marion County, SC</option>
<option value="Georgetown, SC">Georgetown, SC</option>
<option value="Bladen County, NC">Bladen County, NC</option>
<option value="Pender County, NC">Pender County, NC</option>
<option value="Onslow County, NC">Onslow County, NC</option>
<option value="Duplin County, NC">Duplin County, NC</option>
<option value="Other NC">Other NC</option>
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STEP 1 OF 3
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* YOU DON’T HAVE TO TAKE THIS JOURNEY ALONE.
We understand that finding the best care option can be confusing. Therefore,
we've created this simple assessment to help you determine whether hospice or
palliative care is the right choice for you or your loved one. If you have
additional questions, you can always call us at 800.207.6908 to get answers
quickly. We service select counties in North Carolina and South Carolina.
* Have you or a loved one been diagnosed with one or more of the following
conditions? (Check all that apply)
* Alzheimer’s, dementia, other memory care disorder
* Cancer
* Heart disease
* Lung disease
* Brain/Spinal Cord/Nerve condition/Muscular disorder
* Liver disease
* Kidney disease
* AIDS
* Other disease
*
* Are you or a loved one experiencing
* unexpected weight loss
* shortness of breath, even when resting
* frequent falls
* spending more time confined to bed or a chair
* Do you or a loved one need more help
* bathing
* dressing
* getting out of bed
* walking
* preparing and/or eating meals
* Have you or a loved one
* started or increased pain medication
* made more frequent trips to the doctor
* visited the ER or been hospitalized for the same symptoms in the past six
months
*
* Has the doctor given a life expectancy of 6 months or less?*
YesNoNot Sure
* I'm filling out this form on behalf of*
a family membera friendmyself
* Family Member's name*
* Your name*
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800.733.1476
OUR MISSION:
Lower Cape Fear LifeCare is a nonprofit organization dedicated to providing
access to the highest quality LifeCare, education, and supportive services to
our patients, their families, and the communities we serve.
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910.796.7937
800.207.6908
FAX: 910.796.7903
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Lower Cape Fear LifeCare
1414 Physicians Drive
Wilmington, NC 28401
910.796.7900 or 800.733.1476
FAX: 910.796.7901
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On January 1, 2020, Lower Cape Fear Hospice formally changed its name to Lower
Cape Fear LifeCare to better represent the spectrum of care and support they
provide those in our community.
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