The care allowance is intended for persons who, due to a long-term adverse health condition, need the help of another natural person in managing basic life needs within the range determined by the degree of dependency according to the Act on Social Services.

Kontaktní pracoviště Jaroměř, 5. Května 121, 55101 Jaroměř 1

Personal data

Please fill in the surname.
Please fill in your first name.
Please fill in the Email address.

Date of visit, time of day

free
selected
Week 50
Monday, 12/11/2023
Tuesday, 12/12/2023
Wednesday, 12/13/2023
Please choose one of the free dates.
Please confirm your consent before sending.
Please fill in the value.

After sending the completed form, expect an information letter in your e-mail box with instructions on how to process the ordered service. Please read them carefully.