Your Care Request Form

What is a Referral?
A Referral is when you provide us with all the specific details about the care you need, including when, where, for how long, and any other preferences. We then handpick 2-3 caregiver suggestions that match your requirements perfectly.

Timely Service Guarantee:
We value your time! If we can't provide at least one caregiver profile within 48 hours, you'll receive a full refund on your Referral fee.

Easy E-Transfer Payment:
You can easily pay the referral fee of $98.70 via e-transfer (info@konciergeservices.ca), ensuring a hassle-free process.  

Flexibility and Choice:
You have the freedom to review the caregiver profiles we suggest and decide if any of them meet your needs. No obligations!
Experience the ultimate convenience and clarity with Koncierge Services. Start your care journey with us today!

Check all, that apply

The Referral Fee

You can easily pay the referral fee of $98.70 via e-transfer (info@konciergeservices.ca), ensuring a hassle-free process. Once we receive your completed form and the e-transfer payment, we'll promptly start searching for your perfect caregiver match.

In the rare event that we are unable to deliver the suggestion within this timeframe, rest assured, we will promptly refund the referral fee.

Your satisfaction and care are our utmost priorities. Let's kick-start this process together and find the best caregiver for you!

Pricing Schedule

Pricing Schedule

  • $94

    Service Fee

  • $4.70

    GST (5%)

  • $98.70

    Total Amount

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.