Cancer Patients

HOW DOES IT WORK?

Just follows these steps:
  1. Please check the Participants tab to see if there is a participating maid service in your area. Not all areas have a cleaning service. We apologize if we do not have a service yet in your area that has joined cleaningforcancerpatients.ca
  2. Fill out the form to request maid services.
  3. Download, print, sign and submit the "patient waiver".
  4. Please have your doctor's office fax a note specifying the length of your cancer treatment to Cleaning For Cancer Patients, at 905-633-7791 (be sure your name is on the fax, along with the doctor's address and phone number). It may also be dropped off at our Burlington Office:

    A1 Superior Home Cleaning
    2289 fairview St., Suite 320
    Burlington, ON
    L7R 2E3
Upon receipt of these three documents, you will be contacted by an official from Cleaning For Cancer Patients in your area. Two free cleanings will be offered (one cleaning per month for two months) to each qualified patient. We'll focus on your home, while you focus on your health.

To request services for your home, please fill out the following information and submit. You will be contacted within three to five business days. Thank you for your patience as we try to handle the volume of requests made for benevolence cleanings.

 
Patient's Name:
Patient's Phone:
Cell Phone Number:
E-mail Address:
Street Address:
City:
Province:

I am requesting maid services for a friend or loved one.
Yes     No Are you currently undergoing treatment for cancer?
Comments:

Please tell us a little bit about your home so we can better serve your needs.
Number of Levels in Home:
Square footage
Condition of the home
(dust and build up)
Number of Occupants
Number of Pets
Number of Bedrooms
Number of Bathrooms
How soon would you
like to begin service?