Full Name



I’m Searching for Care:
For MyselfFor a Loved One

I Prefer to be Contacted By:

What Service(s) are You Seeking?
Caregiving & NursingCare ManagementDisease ManagementSocial Companion VisitsSenior TransportationFamily Caregiver TrainingOther

How Soon will Care be Required?

While our experts are here to guide you through the process, we’d like to know how much care you feel might be necessary at this time?

How Will you Pay for Care? You may select as many as apply
Private Funds / Out-of-pocketLong Term Care InsuranceTrustOther (VA Benefits, Workers Comp) *Note: We do not accept MEDICAID

What Family Tree location are you closest to? Houston, Texas (and surrounding areas)Denver, Colorado (and surrounding areas)Austin, Texas (and surrounding areas)The Woodlands, Texas (and surrounding areas)Clear Lake, Texas (and surrounding areas)

How did You Hear About Us?
Internet SearchElder Options of TexasOther

Family Tree Regions

Contact Us - old single form 1

Houston (including Katy and Sugarland)
3600 S. Gessner Rd., Suite 150
Houston, TX 77063
Phone: (713) 333-9991

Contact Us - old single form 2

7600 Chevy Chase Drive, Suite 300
Austin, TX 78752
Phone: (512) 337-8882

Contact Us - old single form 3

8191 Southpark Ln., Suite 206
Littleton, CO 80120
Phone: (303) 791-3155

Contact Us - old single form 4

Clear Lake
17101 Mill Forest Rd., Suite 172
Clear Lake, TX 77598
Phone: (281) 953-9299

Contact Us - old single form 5

The Woodlands
25329 Budde Rd., Suite 816
Spring, TX 77380
Phone: (713) 333-9992

Contact Us - old single form 6

Texas Medical Center
2450 Holcombe Blvd.
Houston, TX   77021
Phone: (713) 333-9991

*Additionally, we have satellite offices in several senior living communities. Call today for a full listing.

**Our Texas Department of Aging and Disability Services LHHS & PAS license number is 014707.