vigil sitting intake

For folks in the dying stages and their families, an offer of presence and support, to monitor changes and offer non-medical care, to sit quietly, or perform simple household tasks.

A brief 15-20 minute consultation will be scheduled before the sitting.

Los Angeles only.

Name

First Name

Last Name

Pronouns

Phone

(###)

###

####

Please briefly describe your situation.

How have you been coping with your grief so far?

What neighborhood will the vigil sitting be taking place?

Ideal Sitting Day

Ideal Sitting Time

Is there any other information you would like me to know before our call?

Cost

How many hours do you anticipate needing this service?

Checkbox

I understand that 24 hours notice is needed to reschedule/cancel and understand that missed appointments or less than 24 hours notice will be a $36 charge.