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"Share a Care"
Referral Program

Referral Form

 Help Someone Receive the Care They Deserve

If you know someone who may benefit from home support — companionship, personal care, or help after a hospital stay — you can refer them privately and securely through our simple referral form.


Your referral means a lot, it helps us reach those who need compassionate, reliable care where it matters most — at home.​​

Information About the Person Being Referred

City/Province
Preferred Contact Method
Best Time to Contact
Care Needs (check all that apply)
Relationship to the Person Being Referred

Daily Home Care Inc. respects the privacy and confidentiality of all individuals. Information collected through this form is used solely for follow-up and care coordination purposes, in accordance with our Privacy Policy.

Referral Appreciation Program

Every referral is an act of trust — and we’re grateful for it.
When you refer someone who becomes a Daily Home Care client, you’ll receive a Referral Appreciation Gift as our heartfelt thank-you for helping us reach more people who deserve compassionate, reliable care.

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Who can refer:

Anyone — family members, friends, community partners, or professionals who know someone needing home support.

Who can be referred:

New clients within the Niagara Region who could benefit from our personalized home-care services.

How we express our appreciation:

Once the referred client begins their first scheduled service, we’ll contact you to thank you personally and arrange your Referral Appreciation Gift.

Our Thank-You Gift:

A $50 gift card of your choice, personally arranged through our Care Manager as a token of appreciation.

🔒 Privacy Note

​All referral information is handled with complete confidentiality and used only to coordinate care inquiries.

We respect your trust and protect your privacy at every step.

You can refer anyone who may need:

  • Companionship

  • Help with meals, errands, or routines

  • Personal care

  • Dementia support

  • Post-hospital recovery

  • Fall prevention

  • Peace of mind for family

Why Families Choose Daily Home Care

  • Local PSW team

  • Personalized, mindful, professional care

  • Flexible scheduling

  • No long-term contracts

  • Immediate start dates

  • Respectful and holistic care model

Click the button when you are ready.  We'll take care of the rest.

Have questions? Contact us anytime.

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