Neighborhood Watch | San Antonio, TX

1 Time Visit

Please fill out this form so that we can know a little about your loved-one

Name of Purchaser

Relation to Person that will be visited

Phone

Address

City

State

Name of Person to be Visited

Name of Facility where they will be visited

Address

City

Briefly what is the diagnosis of the neighbor whom we will visit?

Do you have a preference for a day to be visited?

Do you have a preference for a time for them to be visited?

Do you have preference of gender for your neighbor visitor?

Do you have any special concerns that we should be looking for? (Please remember we are not medical professionals)

TexasSeniorWatch does not provide medical advice, diagnosis or treatment or engage in any conduct that requires a professional license. Neighbors at TexasSeniorWatch are not trained to diagnose illnesses or provide treatment during their visit. Neighbors are TexasSeniorWatch will not give medication to your loved one. TexasSeniorWatch is not responsible or liable for missed diagnosis or treatment resulting in injury or death. We will never use pictures or images of your loved one for advertising purposes.

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Contact Information

Email: info@texasseniorwatch.com

Address: 1507 Fredericksburg Rd, San Antonio, Texas 78201

Phone: (210) 779-1729

Other Phone: (210) 421-4536

Business Hours

Mon - Sat: 8:00 am - 8:00 pm
Sunday: Closed

Phones answered 7 days a week