Please fill up this registration form. It only takes 5 minutes to finish the 5 pages

Data Privacy Clause

We collect personal information (e.g. name, email, mobile number) solely for the purpose of processing patient care requests requiring Nansy's caregiving services.

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Data is collected via this website form and processed lawfully, fairly, and securely in line with the Data Privacy Act of 2012 (Republic Act No. 10173).

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We retain data only as necessary, use encryption and safeguards, and share it only with third party service providers under strict confidentiality.

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You have rights to access, correct, delete or object to processing.

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Please contact us at [email protected].

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We notify breaches promptly and do not sell data.

Agree to the Terms and Conditions set forth by Nansy Care Services, Inc.
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By providing my contact details, I agree to receive messages, calls and any form of communication.

Acknowledgement of Communications
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We kindly request that incoming patients or their designated family members acting on their behalf acknowledge receipt of the following communications from Nansy Care Services.
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a. The initial email sent upon submission of your care request. Please do so in the next 12 to 24 hours.

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b. Any subsequent text messages or calls within 1-2 business days.

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Failure to acknowledge these communications will result in us pausing the processing of your care request until confirmation is received.

Please tick off the box that is most appropriate to the nature of your request. *

Need Care Urgently.

I am making an inquiry to plan ahead.

Personal Information

First Name *

Last Name *

Customer Type *

New customer

Existing customer

Mobile Number *

Email *

Street Address

City

Province

Postal Code

Please describe the patient’s current medical condition, and current diagnosis/es? *

Patient Needs *

Patient Profile *

Preferred Care Professional *

Male

Female

Not particular. Can entertain binary and non-binary individuals.

Specify other

If you came across Nansy Care Services outside of the options listed above, please indicate it here.

As you avail of Nansy's care services, we request that:

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1. Food, face masks & gloves, changing areas and accommodations be provided for our care professionals.
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2. Ensure safe and conducive working environment for them.

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3. The different scopes of work from our different care professionals have been read and understood.

In availing the services of Nansy Care *

I agree to these Service Requirements Notice.

Please fill up this registration form. It only takes 5 minutes to finish the 5 pages

Professional Care Services in Metro Manila. Credentialed, compassionate, and trustworthy.

CONTACT US

(+63) 968-359-2234

Metro Manila, Philippines

Professional Care Services in Metro Manila. Credentialed, compassionate, and trustworthy.

CONTACT US

(+63) 968-359-2234

Metro Manila, Philippines