Request care


Request a visit

Tell us who needs care, where they are and what is happening. Our team will contact you to confirm whether we can help, the arrangements and the expected fee.

Need a prompt response? Call 876-338-2411.

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This form is for requesting care. It is not an emergency service.

If you believe the patient is experiencing a medical emergency or needs immediate hospital care, please seek emergency assistance or go to the nearest emergency department.

1

Your details

These are the details of the person who needs care. If you are filling this in for someone else, give their information here — we ask for yours next.

Together with the name, this lets us check whether the patient is already registered with us, so a returning patient is not asked to register again.
2

Who is this care for?

Since this request is for someone else, please tell us how to reach you.

3

Where do you need us?

4

What is happening?

5

When would you prefer us to visit?

We will do our best to accommodate your preference.

6

Anything else we should know?

Your visit is confirmed when you hear from us

Submitting this form sends a request. We will contact you to confirm availability, suitability and the expected fee.

Send care request

✓

Your request has reached us

Thank you. A member of the Douvan Health team will contact you to confirm the details.

Your visit is confirmed when you hear from us. If the situation changes or becomes urgent, please call us directly.

What happens next


From request to care

01

Review your request

We clarify what you need and whether a Douvan visit is suitable.

02

Confirm the arrangements

We agree the availability, the location and the expected fee.

03

Prepare for the visit

We explain anything you need to do or expect beforehand.

Prefer to speak with someone? Call or WhatsApp and we will take the details directly.