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Preveta Care
Assisted Living For Your Loved Ones
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Pre-Registration Form
Relation with the Elderly
Accommodation Type
*
Single Occupancy
Double Occupancy (Shared with other resident of same sex)
Twine Sharing (Sharing with other resident family member like Husband & Wife)
Duration of Stay
*
0 - 6 Months
6 - 12 Months
Long Term Stay
When will you like to start the stay?
Submit
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