Start a clear, supportive path toward the right PASA services.
Use this page to share your needs, ask for guidance, and help our team understand how Wellness Health Care LLC may support your next step.
What happens next
A real person reviews your request.
Tell us what support is needed
Share a few details about the person, goals, questions, and current support path.
We review service fit
Our team looks at the request and helps clarify which PASA services may be appropriate.
Plan the next conversation
We follow up with guidance, availability, and practical next steps for coordination.
Service request form
Share the basics and we'll help with the next step.
This form is designed for first conversations. Please avoid sending urgent medical information here; call emergency services for emergencies.
Helpful before submitting
A short description of current needs or goals.
Any service areas you want to understand better.
Preferred contact method and best time to follow up.
Prefer to talk first?
Call or email us directly and we can help you decide whether this request form is the right place to start.
Service areas
A request can begin with one service or a broader conversation.
Community Connector
Support for participating in community life, building confidence, and pursuing meaningful goals.
Personal Care and Homemaker
Practical daily support that helps individuals remain safe, comfortable, and active at home.
Respite Support
Reliable relief for families and caregivers while maintaining continuity of care and dignity.
Health and Wellness Support
Routine health oversight, communication support, and coordination that keeps care plans moving.
Independent Living Skills
Training that strengthens confidence with routines, decision-making, and everyday self-direction.
Safety and Supervision
Attentive, person-centered supervision that protects health, welfare, and peace of mind.
Ready when you are
Not sure what to request yet?
That is completely okay. You can contact our team first, and we'll help you talk through service fit and next steps.
Clear guidance
A thoughtful first step can make complex service systems feel easier to navigate.