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Tell us about your loved one’s needs, and we’ll match you with the senior living communities that fit best — at no cost to you.

Name*

Address*

Email*

Phone number

Client's name

Relationship to client

Client's age

Client's gender

Male

Female

Senior living interest*

Independent Living

Assisted Living

Memory Care

Not Sure

Timeframe for move-in

1 week

2-4 weeks

4-8 weeks

Medical (Select all that apply)

Dementia

Falls

Diabetes on insulin

Agitation

Incontinence

Oxygen needed

Urinary catheter

Assistance needed

Toileting

Transfers

Medication management

Feeding

Grooming

Dressing

Bathing

Where is the resident now

Home

Skilled nursing home

Hospital

Other senior living

“Metro Detroit Senior Placement made a stressful time so much easier.” — Karen • “They listened to our family and found the perfect community for my dad.” — James • “I felt supported and informed every step of the way.” — Linda •

Metro Detroit Senior Placement

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