Talk to a Comfort Care Specialist

Homeopathy Help Network’s Comfort Care program is a telehealth service designed to provide gentle, whole-person support for those navigating a life-limiting diagnosis and the end-of-life period.

Our experienced team of homeopathic practitioners works with individuals and their caregivers to bring comfort, ease, and connection — addressing not just physical symptoms, but mental and emotional as well.

Whether you’re seeking support for yourself or someone you care for, we’re here to listen. Use the form below to request a Care Call and explore whether Comfort Care may be the right fit.

How Can We Help? Request a Care Call:

Your Contact Information

Your name (person filling out this form):(Required)

First Last

Your email:(Required)

Your phone number:(Required)

What is your relationship to the CLIENT?

Examples: spouse, sibling, friend, hospice nurse, self

Have you been appointed as the CLIENT'S medical power of attorney?

Yes

Best Day/Time to Reach You:(Required)

CLIENT Contact Information

Please fill out the information for the person who will be receiving Comfort Care. If that’s you, you can enter your own details. If you’re filling this out on behalf of someone else, include their information below.

Who is this request for (CLIENT)?

If you’re the one seeking support, enter your own name here. If you're filling this out on someone else’s behalf, enter their name.

First Last

Client email

Client phone

Client address(Required)

This helps us coordinate scheduling and support.

City State / Province / Region Country

Client time zone:(Required)

Client date of birth

Client gender

Health Information

Medical diagnosis

Date symptoms began

Briefly list symptoms the client is currently experiencing(Required)

Pre-existing conditions

Current medications or labwork

Is this situation urgent?(Required)

Yes

Is there anything else you’d like us to know before the call?

Include any specific concerns, needs, or context you feel would be helpful.

If you don't get an email confirmation the form was not submitted. Please resubmit and check that all fields are completed.

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How Can We Help? Request a Care Call:

Your Contact Information

CLIENT Contact Information

Health Information

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