--- New Lead Received: 2026-06-24 22:27:58 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-06-24 22:30:10 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-06-26 02:12:12 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1781908976578=>init-started:1782439870531=>validator-called:1782439870543=>validator-mounted-false:1782439870543=>init-complete:1782439870546=>interval-complete:1782439891614=>onsubmit-fired:1782439920290=>observerSubmitHandler_received-submit-event:1782439920290=>onsubmit-fired:1782439931683=>observerSubmitHandler_received-submit-event:1782439931683=>submit-validation-passed:1782439931689=>observerSubmitHandler_validation-passed-submitting-form:1782439931694 [submitSource] => form [submitDate] => 1782439931694 [buildDate] => 1781908976578 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Harmandeep [last] => Kaur ) [q13_locationOf] => [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Phone ) [q3_q3_email1] => [q4_q4_phone2] => Array ( [full] => (437) 991-0993 ) [q8_whatService] => Healthcare Facility Staffing [q6_q6_textarea4] => RPN [event_id] => 1782439870531_261185135750051_CljoI7Z [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Ka","id_10":"By","id_4":"(4","id_8":"Sp","id_6":"RP"} [path] => /submit/261185135750051 [q11_areYou] => [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => Dacillo_Raymond [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Request A Quote [customTitle] => [submissionID] => 6582491311226937592 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1781908976578=>init-started:1782439870531=>validator-called:1782439870543=>validator-mounted-false:1782439870543=>init-complete:1782439870546=>interval-complete:1782439891614=>onsubmit-fired:1782439920290=>observerSubmitHandler_received-submit-event:1782439920290=>onsubmit-fired:1782439931683=>observerSubmitHandler_received-submit-event:1782439931683=>submit-validation-passed:1782439931689=>observerSubmitHandler_validation-passed-submitting-form:1782439931694","submitSource":"form","submitDate":"1782439931694","buildDate":"1781908976578","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Harmandeep ","last":"Kaur"},"q13_locationOf":"","q5_q5_textbox3":"","q10_howWould":["By Phone"],"q3_q3_email1":"","q4_q4_phone2":{"full":"(437) 991-0993"},"q8_whatService":"Healthcare Facility Staffing","q6_q6_textarea4":"RPN","event_id":"1782439870531_261185135750051_CljoI7Z","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ka\",\"id_10\":\"By\",\"id_4\":\"(4\",\"id_8\":\"Sp\",\"id_6\":\"RP\"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Harmandeep Kaur, How would you like us to contact you?:By Phone, Phone Number:(437) 991-0993, What service are you interested in?:Healthcare Facility Staffing, Please briefly describe your situation and the care or services you may be looking::RPN [unread] => [parent] => [ip] => 72.136.112.21 ) -------------------------------------- --- New Lead Received: 2026-06-26 03:13:06 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1782402940165=>init-started:1782443264105=>validator-called:1782443264126=>validator-mounted-false:1782443264127=>init-complete:1782443264135=>interval-complete:1782443285988=>onsubmit-fired:1782443585369=>observerSubmitHandler_received-submit-event:1782443585372=>submit-validation-passed:1782443585407=>observerSubmitHandler_validation-passed-submitting-form:1782443585449 [submitSource] => form [submitDate] => 1782443585449 [buildDate] => 1782402940165 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Ilja [last] => Pauwels ) [q13_locationOf] => Womens college hospital, 76 Greenville st. Toronto, M5S1B2 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email [1] => By Phone ) [q3_q3_email1] => ilja.pauwels@gmail.com [q4_q4_phone2] => Array ( [full] => (705) 943-7850 ) [q8_whatService] => Medical Appointment Escorts [q19_nameOf] => [q21_whatType21] => Array ( [0] => Post-Operative Procedure ) [q18_whenDo] => Array ( [other] => July 9, 2026, time TBD ) [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => I am going for surgery July 9th, time has not been given yet, and will need a responsible adult to escort me to my hotel or air bnb post op. 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","event_id":"1782443264105_261674921986270_dOWVyIe","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Pa\",\"id_10\":\"By\",\"id_3\":\"il\",\"id_4\":\"(7\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q11_areYou":"","q14_whatAssistance":"","q20_whatType20":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:Ilja Pauwels, Location of Service:Womens college hospital, 76 Greenville st. Toronto, M5S1B2, How would you like us to contact you?:By Email By Phone, Email Address:ilja.pauwels@gmail.com, Phone Number:(705) 943-7850, What service are do you requesting?:Medical Appointment Escorts, What type of Medical Escort you are requiring?:Post-Operative Procedure, When do you need service to start?:July 9, 2026, time TBD, How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:I am going for surgery July 9th, time has not been given yet, and will need a responsible adult to escort me to my hotel or air bnb post op. [unread] => [parent] => [ip] => 76.68.22.19 ) -------------------------------------- --- New Lead Received: 2026-06-26 10:21:39 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1781908976578=>init-started:1782469181722=>validator-called:1782469181733=>validator-mounted-false:1782469181733=>init-complete:1782469181735=>interval-complete:1782469202798=>onsubmit-fired:1782469288875=>observerSubmitHandler_received-submit-event:1782469288875=>submit-validation-passed:1782469288887=>observerSubmitHandler_validation-passed-submitting-form:1782469288895 [submitSource] => form [submitDate] => 1782469288895 [buildDate] => 1781908976578 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Denise [last] => Fajardo ) [q13_locationOf] => 160 avenue road [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => denisef351@hotmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => Will be having cosmetic surgery and require transport services home the following day after surgery [event_id] => 1782469181722_261185135750051_R5GaC3p [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Fa","id_10":"By","id_3":"de","id_8":"Sp","id_6":"Wi"} [path] => /submit/261185135750051 [q11_areYou] => [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => Dacillo_Raymond [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Request A Quote [customTitle] => [submissionID] => 6582784892563572205 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => 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surgery","event_id":"1782469181722_261185135750051_R5GaC3p","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Fa\",\"id_10\":\"By\",\"id_3\":\"de\",\"id_8\":\"Sp\",\"id_6\":\"Wi\"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Denise Fajardo, Location of Service:160 avenue road , How would you like us to contact you?:By Email, Email Address:denisef351@hotmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::Will be having cosmetic surgery and require transport services home the following day after surgery [unread] => [parent] => [ip] => 172.226.16.52 ) -------------------------------------- --- New Lead Received: 2026-06-27 10:29:14 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-06-27 13:20:45 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-06-27 20:47:45 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1782539292397=>init-started:1782592834537=>validator-called:1782592834551=>validator-mounted-false:1782592834551=>init-complete:1782592834554=>interval-complete:1782592855624=>onsubmit-fired:1782593264041=>observerSubmitHandler_received-submit-event:1782593264042=>submit-validation-passed:1782593264052=>observerSubmitHandler_validation-passed-submitting-form:1782593264069 [submitSource] => form [submitDate] => 1782593264069 [buildDate] => 1782539292397 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Ahmad [last] => KhorramNezhad ) [q13_locationOf] => Mount Sinai Hospital [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email [1] => By Phone ) [q3_q3_email1] => khorram290@hotmail.com [q4_q4_phone2] => Array ( [full] => (416) 278-7950 ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => On July 13 at 10:30 AM, l have an appointment for biopsy at Mount Sinai Hospital They ask me that somebody is needed to accompany me home after biopsy. My home is in Woodbridge ontario Would you send a quote for this service Thank you [event_id] => 1782592834537_261185135750051_J6L8o9b [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Kh","id_10":"By","id_3":"kh","id_4":"(4","id_8":"Sp","id_6":"On"} [path] => /submit/261185135750051 [q11_areYou] => [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => Dacillo_Raymond [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Request A Quote [customTitle] => [submissionID] => 6584024647575595415 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1782539292397=>init-started:1782592834537=>validator-called:1782592834551=>validator-mounted-false:1782592834551=>init-complete:1782592834554=>interval-complete:1782592855624=>onsubmit-fired:1782593264041=>observerSubmitHandler_received-submit-event:1782593264042=>submit-validation-passed:1782593264052=>observerSubmitHandler_validation-passed-submitting-form:1782593264069","submitSource":"form","submitDate":"1782593264069","buildDate":"1782539292397","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Ahmad","last":"KhorramNezhad"},"q13_locationOf":"Mount Sinai Hospital","q5_q5_textbox3":"","q10_howWould":["By Email","By Phone"],"q3_q3_email1":"khorram290@hotmail.com","q4_q4_phone2":{"full":"(416) 278-7950"},"q8_whatService":"Medical Escorts","q6_q6_textarea4":"On July 13 at 10:30 AM, l have an appointment for biopsy at Mount Sinai Hospital \r\nThey ask me that somebody is needed to accompany me home after biopsy.\r\nMy home is in Woodbridge ontario\r\n\r\nWould you send a quote for this service\r\n\r\nThank you ","event_id":"1782592834537_261185135750051_J6L8o9b","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Kh\",\"id_10\":\"By\",\"id_3\":\"kh\",\"id_4\":\"(4\",\"id_8\":\"Sp\",\"id_6\":\"On\"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Ahmad KhorramNezhad, Location of Service:Mount Sinai Hospital, How would you like us to contact you?:By Email By Phone, Email Address:khorram290@hotmail.com, Phone Number:(416) 278-7950, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::On July 13 at 10:30 AM, l have an appointment for biopsy at Mount Sinai Hospital They ask me that somebody is needed to accompany me home after biopsy. My home is in Woodbridge ontario Would you send a quote for this service Thank you [unread] => [parent] => [ip] => 174.95.147.57 ) -------------------------------------- --- New Lead Received: 2026-06-27 23:29:07 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-06-29 21:09:42 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1782539292397=>init-started:1782764804182=>validator-called:1782764804182=>validator-mounted-false:1782764804182=>init-complete:1782764804182=>interval-complete:1782764825533=>onsubmit-fired:1782767381717=>observerSubmitHandler_received-submit-event:1782767381717=>submit-validation-passed:1782767381734=>observerSubmitHandler_validation-passed-submitting-form:1782767381734 [submitSource] => form [submitDate] => 1782767381734 [buildDate] => 1782539292397 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Zoe [last] => Crush ) [q13_locationOf] => 100 Front St W, Toronto, ON M5J 1E4 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => zoemaycrush@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Transfers [1] => Medication reminders [2] => Wound care ) [q11_areYou] => Yourself [q6_q6_textarea4] => On July 14th, I'm undergoing a staged tissue expander surgery for breast augmentation. For the first 24 hours after my surgery, I'll be staying at the Fairmont Royal York, which is in the same building as the surgery clinic. I'd need someone with me in case I faint. I'll have incisions that may ooze or bleed, which could require care. I will have medication that I can take for pain and sleeping if needed. [event_id] => 1782764804182_261185135750051_PHuWRuZ [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Cr","id_10":"By","id_3":"zo","id_8":"Sp","id_11":"So","id_6":"On"} [path] => /submit/261185135750051 ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => Dacillo_Raymond [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Request A Quote [customTitle] => [submissionID] => 6585765817019398484 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1782539292397=>init-started:1782764804182=>validator-called:1782764804182=>validator-mounted-false:1782764804182=>init-complete:1782764804182=>interval-complete:1782764825533=>onsubmit-fired:1782767381717=>observerSubmitHandler_received-submit-event:1782767381717=>submit-validation-passed:1782767381734=>observerSubmitHandler_validation-passed-submitting-form:1782767381734","submitSource":"form","submitDate":"1782767381734","buildDate":"1782539292397","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Zoe","last":"Crush"},"q13_locationOf":"100 Front St W, Toronto, ON M5J 1E4","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"zoemaycrush@gmail.com","q4_q4_phone2":{"full":""},"q8_whatService":"Home Care Services","q14_whatAssistance":["Transfers","Medication reminders","Wound care"],"q11_areYou":"Yourself","q6_q6_textarea4":"On July 14th, I'm undergoing a staged tissue expander surgery for breast augmentation. For the first 24 hours after my surgery, I'll be staying at the Fairmont Royal York, which is in the same building as the surgery clinic.\r\n\r\nI'd need someone with me in case I faint. I'll have incisions that may ooze or bleed, which could require care. I will have medication that I can take for pain and sleeping if needed.","event_id":"1782764804182_261185135750051_PHuWRuZ","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Cr\",\"id_10\":\"By\",\"id_3\":\"zo\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"On\"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:Zoe Crush, Location of Service:100 Front St W, Toronto, ON M5J 1E4, How would you like us to contact you?:By Email, Email Address:zoemaycrush@gmail.com, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Transfers Medication reminders Wound care, Are you requesting this service for::Yourself, Please briefly describe your situation and the care or services you may be looking::On July 14th, I'm undergoing a staged tissue expander surgery for breast augmentation. For the first 24 hours after my surgery, I'll be staying at the Fairmont Royal York, which is in the same building as the surgery clinic. I'd need someone with me in case I faint. I'll have incisions that may ooze or bleed, which could require care. I will have medication that I can take for pain and sleeping if needed. [unread] => [parent] => [ip] => 23.233.2.107 ) -------------------------------------- --- New Lead Received: 2026-06-30 00:08:14 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1782539292397=>init-started:1782777845001=>validator-called:1782777845006=>validator-mounted-false:1782777845006=>init-complete:1782777845008=>interval-complete:1782777866234=>onsubmit-fired:1782778093942=>observerSubmitHandler_received-submit-event:1782778093942=>submit-validation-passed:1782778093953=>observerSubmitHandler_validation-passed-submitting-form:1782778093961 [submitSource] => form [submitDate] => 1782778093961 [buildDate] => 1782539292397 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Sarah [last] => Banani ) [q13_locationOf] => Toronto [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => sarah.banani@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I would like to get a quote on the cost of a medical escort from Mount Sinai Hospital to my home at 1 Stonehouse Cres, Toronto, M6J 1T4. My procedure date is Monday, 13 July. The time has not yet been finalized. The estimate is that the procedure will take 60-90 minutes. Time in recovery should be no more than four hours. I do not need to be accompanied into my home. Thank you. Sarah [event_id] => 1782777845001_261185135750051_LhhF5tC [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Ba","id_10":"By","id_3":"sa","id_8":"Sp","id_6":"I "} [path] => /submit/261185135750051 [q11_areYou] => [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => Dacillo_Raymond [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Request A Quote [customTitle] => [submissionID] => 6585872942543318979 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1782539292397=>init-started:1782777845001=>validator-called:1782777845006=>validator-mounted-false:1782777845006=>init-complete:1782777845008=>interval-complete:1782777866234=>onsubmit-fired:1782778093942=>observerSubmitHandler_received-submit-event:1782778093942=>submit-validation-passed:1782778093953=>observerSubmitHandler_validation-passed-submitting-form:1782778093961","submitSource":"form","submitDate":"1782778093961","buildDate":"1782539292397","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Sarah","last":"Banani"},"q13_locationOf":"Toronto","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"sarah.banani@gmail.com","q4_q4_phone2":{"full":""},"q8_whatService":"Medical Escorts","q6_q6_textarea4":"I would like to get a quote on the cost of a medical escort from Mount Sinai Hospital to my home at 1 Stonehouse Cres, Toronto, M6J 1T4.\r\n\r\nMy procedure date is Monday, 13 July. The time has not yet been finalized. The estimate is that the procedure will take 60-90 minutes. Time in recovery should be no more than four hours.\r\n\r\nI do not need to be accompanied into my home. \r\n\r\nThank you.\r\n\r\nSarah","event_id":"1782777845001_261185135750051_LhhF5tC","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ba\",\"id_10\":\"By\",\"id_3\":\"sa\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Sarah Banani, Location of Service:Toronto, How would you like us to contact you?:By Email, Email Address:sarah.banani@gmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I would like to get a quote on the cost of a medical escort from Mount Sinai Hospital to my home at 1 Stonehouse Cres, Toronto, M6J 1T4. My procedure date is Monday, 13 July. The time has not yet been finalized. The estimate is that the procedure will take 60-90 minutes. Time in recovery should be no more than four hours. I do not need to be accompanied into my home. Thank you. Sarah [unread] => [parent] => [ip] => 184.148.114.52 ) -------------------------------------- --- New Lead Received: 2026-06-30 05:42:56 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1782539292397=>init-started:1782797974215=>validator-called:1782797974227=>validator-mounted-false:1782797974227=>init-complete:1782797974229=>interval-complete:1782797995293=>onsubmit-fired:1782798144718=>observerSubmitHandler_received-submit-event:1782798144718=>submit-validation-passed:1782798144729=>observerSubmitHandler_validation-passed-submitting-form:1782798144736 [submitSource] => form [submitDate] => 1782798144737 [buildDate] => 1782539292397 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Sonya [last] => Sharpe ) [q13_locationOf] => T6R 3P8 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => sharpemedic@hotmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I am looking for a quote for a medical escort post scope. I’m not sure if you have a minimum number of hours, and therefore need to contract someone to take me there and back or if I can hire someone to simply drive me home post sedation, but if you do both options, could I get a quote for both? I live at 75-1428 Hodgson Way NW, Edmonton AB T6R 3P8 and my scope is at fort Sask hospital. Thank you in advance. [event_id] => 1782797974215_261185135750051_cTmgrVI [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Sh","id_10":"By","id_3":"sh","id_8":"Sp","id_6":"I "} [path] => /submit/261185135750051 [q11_areYou] => [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => Dacillo_Raymond [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Request A Quote [customTitle] => [submissionID] => 6586073458416411144 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1782539292397=>init-started:1782797974215=>validator-called:1782797974227=>validator-mounted-false:1782797974227=>init-complete:1782797974229=>interval-complete:1782797995293=>onsubmit-fired:1782798144718=>observerSubmitHandler_received-submit-event:1782798144718=>submit-validation-passed:1782798144729=>observerSubmitHandler_validation-passed-submitting-form:1782798144736","submitSource":"form","submitDate":"1782798144737","buildDate":"1782539292397","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Sonya","last":"Sharpe"},"q13_locationOf":"T6R 3P8","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"sharpemedic@hotmail.com","q4_q4_phone2":{"full":""},"q8_whatService":"Medical Escorts","q6_q6_textarea4":"I am looking for a quote for a medical escort post scope. I\u2019m not sure if you have a minimum number of hours, and therefore need to contract someone to take me there and back or if I can hire someone to simply drive me home post sedation, but if you do both options, could I get a quote for both? \r\n\r\nI live at 75-1428 Hodgson Way NW, Edmonton AB T6R 3P8 and my scope is at fort Sask hospital. Thank you in advance. ","event_id":"1782797974215_261185135750051_cTmgrVI","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Sh\",\"id_10\":\"By\",\"id_3\":\"sh\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Sonya Sharpe, Location of Service:T6R 3P8, How would you like us to contact you?:By Email, Email Address:sharpemedic@hotmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I am looking for a quote for a medical escort post scope. I’m not sure if you have a minimum number of hours, and therefore need to contract someone to take me there and back or if I can hire someone to simply drive me home post sedation, but if you do both options, could I get a quote for both? I live at 75-1428 Hodgson Way NW, Edmonton AB T6R 3P8 and my scope is at fort Sask hospital. Thank you in advance. [unread] => [parent] => [ip] => 172.225.43.148 ) -------------------------------------- --- New Lead Received: 2026-06-30 07:53:54 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-06-30 16:20:50 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1782539292397=>init-started:1782836305185=>validator-called:1782836305196=>validator-mounted-false:1782836305196=>init-complete:1782836305198=>interval-complete:1782836326266=>onsubmit-fired:1782836449613=>observerSubmitHandler_received-submit-event:1782836449614=>submit-validation-passed:1782836449622=>observerSubmitHandler_validation-passed-submitting-form:1782836449630 [submitSource] => form [submitDate] => 1782836449630 [buildDate] => 1782539292397 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Venus [last] => Mbanugo ) [q13_locationOf] => Toronto Cosmetic Surgery Institute 100 Front Street West. Level B (inside the Royal York Hotel) Toronto, ON, M5J1E3 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => venusmbanugo@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I will be having surgery on the 7th July at 9:45am, I am required to be there from 7:45am and have someone pick me up and escort me home. The location of where I will be getting the procedure is Toronto Cosmetic Surgery Institute 100 Front Street West. Level B (inside the Royal York Hotel) Toronto, ON, M5J1E3 and I live nearby at 1 market street, Toronto M5E 0A2 [event_id] => 1782836305185_261185135750051_AjXzJDx [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Mb","id_10":"By","id_3":"ve","id_8":"Sp","id_6":"I "} [path] => /submit/261185135750051 [q11_areYou] => [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => Dacillo_Raymond [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Request A Quote [customTitle] => [submissionID] => 6586456490283100068 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1782539292397=>init-started:1782836305185=>validator-called:1782836305196=>validator-mounted-false:1782836305196=>init-complete:1782836305198=>interval-complete:1782836326266=>onsubmit-fired:1782836449613=>observerSubmitHandler_received-submit-event:1782836449614=>submit-validation-passed:1782836449622=>observerSubmitHandler_validation-passed-submitting-form:1782836449630","submitSource":"form","submitDate":"1782836449630","buildDate":"1782539292397","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Venus","last":"Mbanugo"},"q13_locationOf":"Toronto Cosmetic Surgery Institute 100 Front Street West. Level B (inside the Royal York Hotel) Toronto, ON, M5J1E3","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"venusmbanugo@gmail.com","q4_q4_phone2":{"full":""},"q8_whatService":"Medical Escorts","q6_q6_textarea4":"I will be having surgery on the 7th July at 9:45am, I am required to be there from 7:45am and have someone pick me up and escort me home. The location of where I will be getting the procedure is Toronto Cosmetic Surgery Institute\r\n100 Front Street West. Level B\r\n(inside the Royal York Hotel)\r\nToronto, ON, M5J1E3 and I live nearby at 1 market street, Toronto M5E 0A2","event_id":"1782836305185_261185135750051_AjXzJDx","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Mb\",\"id_10\":\"By\",\"id_3\":\"ve\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Venus Mbanugo, Location of Service:Toronto Cosmetic Surgery Institute 100 Front Street West. Level B (inside the Royal York Hotel) Toronto, ON, M5J1E3, How would you like us to contact you?:By Email, Email Address:venusmbanugo@gmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I will be having surgery on the 7th July at 9:45am, I am required to be there from 7:45am and have someone pick me up and escort me home. The location of where I will be getting the procedure is Toronto Cosmetic Surgery Institute 100 Front Street West. Level B (inside the Royal York Hotel) Toronto, ON, M5J1E3 and I live nearby at 1 market street, Toronto M5E 0A2 [unread] => [parent] => [ip] => 134.231.38.20 ) -------------------------------------- --- New Lead Received: 2026-06-30 17:00:24 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1782402940165=>init-started:1782838596823=>validator-called:1782838596836=>validator-mounted-false:1782838596837=>init-complete:1782838596839=>interval-complete:1782838617903=>onsubmit-fired:1782838823318=>observerSubmitHandler_received-submit-event:1782838823319=>submit-validation-passed:1782838823334=>observerSubmitHandler_validation-passed-submitting-form:1782838823345 [submitSource] => form [submitDate] => 1782838823345 [buildDate] => 1782402940165 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Elodie [last] => Auge ) [q13_locationOf] => Elite body sculpture yorkville [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => elodiea007@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Appointment Escorts [q19_nameOf] => [q21_whatType21] => Array ( [0] => Post-Operative Procedure ) [q18_whenDo] => Array ( [other] => Friday July 3rd - I think 1pm ) [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => AirSculpt escort home by uber. I have been a customer before. I would like to book for the shortest time possible. Thank you [event_id] => 1782838596823_261674921986270_ppgT37N [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Au","id_10":"By","id_3":"el","id_8":"Sp","id_6":"Ai"} [visitedPages] => {"1":true,"2":true,"3":true,"4":true} [path] => /submit/261674921986270 [q11_areYou] => [q14_whatAssistance] => [q20_whatType20] => [q22_whatType] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => Dacillo_Raymond [formID] => 261674921986270 [type] => WEB [customParams] => [product] => [formTitle] => Care Service Request [customTitle] => [submissionID] => 6586480235803563686 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261674921986270","jsExecutionTracker":"build-date-1782402940165=>init-started:1782838596823=>validator-called:1782838596836=>validator-mounted-false:1782838596837=>init-complete:1782838596839=>interval-complete:1782838617903=>onsubmit-fired:1782838823318=>observerSubmitHandler_received-submit-event:1782838823319=>submit-validation-passed:1782838823334=>observerSubmitHandler_validation-passed-submitting-form:1782838823345","submitSource":"form","submitDate":"1782838823345","buildDate":"1782402940165","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Elodie","last":"Auge"},"q13_locationOf":"Elite body sculpture yorkville","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"elodiea007@gmail.com","q4_q4_phone2":{"full":""},"q8_whatService":"Medical Appointment Escorts","q19_nameOf":"","q21_whatType21":["Post-Operative Procedure"],"q18_whenDo":{"other":"Friday July 3rd - I think 1pm "},"q23_howLong":["One-Time"],"q6_q6_textarea4":"AirSculpt escort home by uber. I have been a customer before. I would like to book for the shortest time possible. Thank you ","event_id":"1782838596823_261674921986270_ppgT37N","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Au\",\"id_10\":\"By\",\"id_3\":\"el\",\"id_8\":\"Sp\",\"id_6\":\"Ai\"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q11_areYou":"","q14_whatAssistance":"","q20_whatType20":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:Elodie Auge, Location of Service:Elite body sculpture yorkville, How would you like us to contact you?:By Email, Email Address:elodiea007@gmail.com, What service are do you requesting?:Medical Appointment Escorts, What type of Medical Escort you are requiring?:Post-Operative Procedure, When do you need service to start?:Friday July 3rd - I think 1pm , How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:AirSculpt escort home by uber. I have been a customer before. I would like to book for the shortest time possible. Thank you [unread] => [parent] => [ip] => 184.151.190.85 ) -------------------------------------- --- New Lead Received: 2026-07-02 00:28:35 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1782539292397=>init-started:1782951128831=>validator-called:1782951128840=>validator-mounted-false:1782951128840=>init-complete:1782951128843=>interval-complete:1782951149847=>onsubmit-fired:1782951982626=>observerSubmitHandler_received-submit-event:1782951982627=>submit-validation-passed:1782951982634=>observerSubmitHandler_validation-passed-submitting-form:1782951982640 [submitSource] => form [submitDate] => 1782951982640 [buildDate] => 1782539292397 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Mohammed [last] => Youssef ) [q13_locationOf] => 1235 Wilson Ave, North York, ON M3M 3G8 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => gofaq_youssef@hotmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I have an MRI scheduled for July 25 2026 at 7:45am at Humber River Health Medical Imaging Department. This appointment requires me to show up with an escort who will then wait for me and accompany me off hospital property after the appointment. There is no way to accurately determine how long the escort will have to wait but I would expect around one hour. 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This appointment requires me to show up with an escort who will then wait for me and accompany me off hospital property after the appointment. There is no way to accurately determine how long the escort will have to wait but I would expect around one hour.","event_id":"1782951128831_261185135750051_QavQlBV","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Yo\",\"id_10\":\"By\",\"id_3\":\"go\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Mohammed Youssef, Location of Service:1235 Wilson Ave, North York, ON M3M 3G8, How would you like us to contact you?:By Email, Email Address:gofaq_youssef@hotmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I have an MRI scheduled for July 25 2026 at 7:45am at Humber River Health Medical Imaging Department. This appointment requires me to show up with an escort who will then wait for me and accompany me off hospital property after the appointment. There is no way to accurately determine how long the escort will have to wait but I would expect around one hour. [unread] => [parent] => [ip] => 138.199.57.38 ) -------------------------------------- --- New Lead Received: 2026-07-02 15:11:33 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1782973058470=>init-started:1783004858362=>validator-called:1783004858373=>validator-mounted-false:1783004858373=>init-complete:1783004858375=>interval-complete:1783004879222=>onsubmit-fired:1783005092352=>observerSubmitHandler_received-submit-event:1783005092352=>submit-validation-passed:1783005092363=>observerSubmitHandler_validation-passed-submitting-form:1783005092371 [submitSource] => form [submitDate] => 1783005092371 [buildDate] => 1782973058470 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Carley [last] => O'Brien ) [q13_locationOf] => 59 Hayden St Toronto Ontario M4Y 2P2 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => carley.obrien1022@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I will be getting a tummy tuck and breast augmentation on July 13th at 8am should be able to leave around 3-4pm. I am looking for transportation from 59 Hayden st Toronto to 5449 king st Beamsville and for someone to stay with me until my husband gets home. [event_id] => 1783004858362_261185135750051_np4jtuv [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"O'","id_10":"By","id_3":"ca","id_8":"Sp","id_6":"I "} [path] => /submit/261185135750051 [q11_areYou] => [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => Dacillo_Raymond [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Request A Quote [customTitle] => [submissionID] => 6588142921515828535 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1782973058470=>init-started:1783004858362=>validator-called:1783004858373=>validator-mounted-false:1783004858373=>init-complete:1783004858375=>interval-complete:1783004879222=>onsubmit-fired:1783005092352=>observerSubmitHandler_received-submit-event:1783005092352=>submit-validation-passed:1783005092363=>observerSubmitHandler_validation-passed-submitting-form:1783005092371","submitSource":"form","submitDate":"1783005092371","buildDate":"1782973058470","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Carley","last":"O'Brien"},"q13_locationOf":"59 Hayden St Toronto Ontario M4Y 2P2","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"carley.obrien1022@gmail.com","q4_q4_phone2":{"full":""},"q8_whatService":"Medical Escorts","q6_q6_textarea4":"I will be getting a tummy tuck and breast augmentation on July 13th at 8am should be able to leave around 3-4pm. I am looking for transportation from 59 Hayden st Toronto to 5449 king st Beamsville and for someone to stay with me until my husband gets home. ","event_id":"1783004858362_261185135750051_np4jtuv","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"O'\",\"id_10\":\"By\",\"id_3\":\"ca\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Carley O'Brien, Location of Service:59 Hayden St Toronto Ontario M4Y 2P2, How would you like us to contact you?:By Email, Email Address:carley.obrien1022@gmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I will be getting a tummy tuck and breast augmentation on July 13th at 8am should be able to leave around 3-4pm. I am looking for transportation from 59 Hayden st Toronto to 5449 king st Beamsville and for someone to stay with me until my husband gets home. [unread] => [parent] => [ip] => 24.36.247.151 ) -------------------------------------- --- New Lead Received: 2026-07-02 15:55:22 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1782973058470=>init-started:1783007572034=>validator-called:1783007572044=>validator-mounted-false:1783007572044=>init-complete:1783007572046=>interval-complete:1783007593109=>onsubmit-fired:1783007705544=>observerSubmitHandler_received-submit-event:1783007705544=>onsubmit-fired:1783007721235=>observerSubmitHandler_received-submit-event:1783007721236=>submit-validation-passed:1783007721241=>observerSubmitHandler_validation-passed-submitting-form:1783007721246 [submitSource] => form [submitDate] => 1783007721246 [buildDate] => 1782973058470 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Rossana [last] => Broderick ) [q13_locationOf] => Etobicoke, M9P 2P1 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => rossana.broderick@bell.net [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Companionship / supervision ) [q11_areYou] => Someone else [q6_q6_textarea4] => i am interested in companionship for my 85 year old mom. She is mobile, able to cook and care for herself. It’s more for the occasional evening or weekend when no one is home for her not be left alone as she is not comfortable. Ideally I would like someone who speaks Italian, friendly, humble and gentle with mom. I don’t have an exact schedule but it would be more of an ‘on needed basis’. Is this something you can provide? How does it work? How does pricing work? Thanks [event_id] => 1783007572034_261185135750051_U7eRDiF [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Br","id_10":"By","id_3":"ro","id_8":"Sp","id_11":"So","id_6":"i "} [path] => /submit/261185135750051 ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => Dacillo_Raymond [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Request A Quote [customTitle] => [submissionID] => 6588169217256955466 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1782973058470=>init-started:1783007572034=>validator-called:1783007572044=>validator-mounted-false:1783007572044=>init-complete:1783007572046=>interval-complete:1783007593109=>onsubmit-fired:1783007705544=>observerSubmitHandler_received-submit-event:1783007705544=>onsubmit-fired:1783007721235=>observerSubmitHandler_received-submit-event:1783007721236=>submit-validation-passed:1783007721241=>observerSubmitHandler_validation-passed-submitting-form:1783007721246","submitSource":"form","submitDate":"1783007721246","buildDate":"1782973058470","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Rossana","last":"Broderick"},"q13_locationOf":"Etobicoke, M9P 2P1","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"rossana.broderick@bell.net","q4_q4_phone2":{"full":""},"q8_whatService":"Home Care Services","q14_whatAssistance":["Companionship \/ supervision"],"q11_areYou":"Someone else","q6_q6_textarea4":"i am interested in companionship for my 85 year old mom. She is mobile, able to cook and care for herself. It\u2019s more for the occasional evening or weekend when no one is home for her not be left alone as she is not comfortable. Ideally I would like someone who speaks Italian, friendly, humble and gentle with mom. I don\u2019t have an exact schedule but it would be more of an \u2018on needed basis\u2019. Is this something you can provide? How does it work? How does pricing work? Thanks ","event_id":"1783007572034_261185135750051_U7eRDiF","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Br\",\"id_10\":\"By\",\"id_3\":\"ro\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"i \"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:Rossana Broderick, Location of Service:Etobicoke, M9P 2P1, How would you like us to contact you?:By Email, Email Address:rossana.broderick@bell.net, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Companionship / supervision, Are you requesting this service for::Someone else, Please briefly describe your situation and the care or services you may be looking::i am interested in companionship for my 85 year old mom. She is mobile, able to cook and care for herself. It’s more for the occasional evening or weekend when no one is home for her not be left alone as she is not comfortable. Ideally I would like someone who speaks Italian, friendly, humble and gentle with mom. I don’t have an exact schedule but it would be more of an ‘on needed basis’. Is this something you can provide? How does it work? How does pricing work? Thanks [unread] => [parent] => [ip] => 18.196.75.27 ) -------------------------------------- --- New Lead Received: 2026-07-02 16:15:48 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1783001148144=>init-started:1783008551356=>validator-called:1783008551365=>validator-mounted-false:1783008551365=>init-complete:1783008551367=>interval-complete:1783008572369=>onsubmit-fired:1783008947306=>observerSubmitHandler_received-submit-event:1783008947306=>submit-validation-passed:1783008947311=>observerSubmitHandler_validation-passed-submitting-form:1783008947322 [submitSource] => form [submitDate] => 1783008947322 [buildDate] => 1783001148144 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Liza [last] => Weldon ) [q13_locationOf] => 33 Hazelton, Toronto, ON [q5_q5_textbox3] => Elite Body Sculpture [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => lizapweldon@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Appointment Escorts [q19_nameOf] => [q21_whatType21] => Array ( [0] => Post-Operative Procedure ) [q18_whenDo] => Tomorrow [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => Hello. I will be having a procedure at Elite Body Sculpture, 33 Hazelton, in Yorkville. After my procedure, i will stay at the clinic until the medication wears off. Once my medication wears off, i will need your assistance to go from the clinic to my hotel, the Anndore, which is a 1 km walk, or 8 kms car ride. I will need them to roll my suitcase and help me check in. I will need to be picked up around 3:30 p.m. Thank you! I spoke to Raymond this morning. 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I will be having a procedure at Elite Body Sculpture, 33 Hazelton, in Yorkville. After my procedure, i will stay at the clinic until the medication wears off. Once my medication wears off, i will need your assistance to go from the clinic to my hotel, the Anndore, which is a 1 km walk, or 8 kms car ride. I will need them to roll my suitcase and help me check in. I will need to be picked up around 3:30 p.m. Thank you! I spoke to Raymond this morning. ","event_id":"1783008551357_261674921986270_J8FpxAO","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"We\",\"id_10\":\"By\",\"id_3\":\"li\",\"id_8\":\"Sp\",\"id_6\":\"He\"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q11_areYou":"","q14_whatAssistance":"","q20_whatType20":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:Liza Weldon, Location of Service:33 Hazelton, Toronto, ON, Company or Organization:Elite Body Sculpture, How would you like us to contact you?:By Email, Email Address:lizapweldon@gmail.com, What service are do you requesting?:Medical Appointment Escorts, What type of Medical Escort you are requiring?:Post-Operative Procedure, When do you need service to start?:Tomorrow, How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:Hello. I will be having a procedure at Elite Body Sculpture, 33 Hazelton, in Yorkville. After my procedure, i will stay at the clinic until the medication wears off. Once my medication wears off, i will need your assistance to go from the clinic to my hotel, the Anndore, which is a 1 km walk, or 8 kms car ride. I will need them to roll my suitcase and help me check in. I will need to be picked up around 3:30 p.m. Thank you! I spoke to Raymond this morning. [unread] => [parent] => [ip] => 24.206.65.104 ) -------------------------------------- --- New Lead Received: 2026-07-03 23:36:54 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-07-04 16:55:36 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1783038612412=>init-started:1783183692773=>validator-called:1783183692794=>validator-mounted-false:1783183692794=>init-complete:1783183692801=>interval-complete:1783183713706=>onsubmit-fired:1783184134671=>observerSubmitHandler_received-submit-event:1783184134672=>submit-validation-passed:1783184134684=>observerSubmitHandler_validation-passed-submitting-form:1783184134699 [submitSource] => form [submitDate] => 1783184134699 [buildDate] => 1783038612412 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Matthew [last] => Hadorn ) [q13_locationOf] => Mississauga [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => mdh731@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I will be undergoing a Gastroscopy and have been advised that I will be going under general anaesthesia for the procedure and although I can arrange transportation to the facility, I will need to be accompanied / transported home. The appointment is on July 24. They did not comment on whether or not I will need to be monitored following my return home. 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The appointment is on July 24. They did not comment on whether or not I will need to be monitored following my return home.","event_id":"1783183692773_261185135750051_AHcfXM1","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ha\",\"id_10\":\"By\",\"id_3\":\"md\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Matthew Hadorn, Location of Service:Mississauga, How would you like us to contact you?:By Email, Email Address:mdh731@gmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I will be undergoing a Gastroscopy and have been advised that I will be going under general anaesthesia for the procedure and although I can arrange transportation to the facility, I will need to be accompanied / transported home. The appointment is on July 24. They did not comment on whether or not I will need to be monitored following my return home. [unread] => [parent] => [ip] => 99.245.4.158 ) -------------------------------------- --- New Lead Received: 2026-07-05 03:28:56 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1783038612412=>init-started:1783221627371=>validator-called:1783221627387=>validator-mounted-false:1783221627388=>init-complete:1783221627392=>interval-complete:1783221648392=>onsubmit-fired:1783222134693=>observerSubmitHandler_received-submit-event:1783222134693=>submit-validation-passed:1783222134699=>observerSubmitHandler_validation-passed-submitting-form:1783222134709 [submitSource] => form [submitDate] => 1783222134709 [buildDate] => 1783038612412 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Margareta [last] => Turner ) [q13_locationOf] => 40 Holly Street, Toronto, ON M4S 3C3 [q5_q5_textbox3] => Holly Endoscopy Clinic [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => turnermar@protonmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I need to be picked up and taken home after colonoscopy procedure. The clinic will not let me leave unaccompanied and so far it appears that none of my friends can do it during working hours. I am in a good health and had minor surgeries before, based on that experience I don't assume that any additional care will be required, I just need to safely get home. Can you let me know the cost, and is this service typically covered by private health plans? Thanks. 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The clinic will not let me leave unaccompanied and so far it appears that none of my friends can do it during working hours. I am in a good health and had minor surgeries before, based on that experience I don't assume that any additional care will be required, I just need to safely get home. Can you let me know the cost, and is this service typically covered by private health plans? Thanks.","event_id":"1783221627371_261185135750051_0N6OpjZ","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Tu\",\"id_10\":\"By\",\"id_3\":\"tu\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Margareta Turner, Location of Service:40 Holly Street, Toronto, ON M4S 3C3, Company or Organization:Holly Endoscopy Clinic , How would you like us to contact you?:By Email, Email Address:turnermar@protonmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I need to be picked up and taken home after colonoscopy procedure. The clinic will not let me leave unaccompanied and so far it appears that none of my friends can do it during working hours. I am in a good health and had minor surgeries before, based on that experience I don't assume that any additional care will be required, I just need to safely get home. Can you let me know the cost, and is this service typically covered by private health plans? Thanks. [unread] => [parent] => [ip] => 99.237.255.128 ) -------------------------------------- --- New Lead Received: 2026-07-05 12:04:05 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-07-05 13:11:49 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-07-05 17:52:23 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1783038612412=>init-started:1783273515026=>validator-called:1783273515048=>validator-mounted-false:1783273515049=>init-complete:1783273515055=>interval-complete:1783273536311=>onsubmit-fired:1783273942028=>observerSubmitHandler_received-submit-event:1783273942028=>submit-validation-passed:1783273942041=>observerSubmitHandler_validation-passed-submitting-form:1783273942066 [submitSource] => form [submitDate] => 1783273942066 [buildDate] => 1783038612412 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Birute [last] => Scargo ) [q13_locationOf] => St. Joseph’s Health Centre [q5_q5_textbox3] => Hospital in Toronto [q10_howWould] => Array ( [0] => By Phone ) [q3_q3_email1] => [q4_q4_phone2] => Array ( [full] => (416) 454-4134 ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => Meet me at the hospital after procedure and return home by taxi. No further assistance needed, just the trip home. Total time needed approx. 2 hrs. 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No further assistance needed, just the trip home. Total time needed approx. 2 hrs. ","event_id":"1783273515026_261185135750051_D2bv7jg","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Sc\",\"id_10\":\"By\",\"id_4\":\"(4\",\"id_8\":\"Sp\",\"id_6\":\"Me\"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Birute Scargo, Location of Service:St. Joseph’s Health Centre, Company or Organization:Hospital in Toronto, How would you like us to contact you?:By Phone, Phone Number:(416) 454-4134, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::Meet me at the hospital after procedure and return home by taxi. No further assistance needed, just the trip home. Total time needed approx. 2 hrs. [unread] => [parent] => [ip] => 184.146.144.213 ) -------------------------------------- --- New Lead Received: 2026-07-07 23:14:32 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1783001148144=>init-started:1783465927757=>validator-called:1783465927768=>validator-mounted-false:1783465927768=>init-complete:1783465927775=>interval-complete:1783465955620=>onsubmit-fired:1783466071151=>observerSubmitHandler_received-submit-event:1783466071151=>submit-validation-passed:1783466071178=>observerSubmitHandler_validation-passed-submitting-form:1783466071189 [submitSource] => form [submitDate] => 1783466071189 [buildDate] => 1783001148144 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Sarah [last] => Lacelle ) [q13_locationOf] => 1262 Don Mills Rd. #62, North York, ON M3B 2W7, Canada [q5_q5_textbox3] => Interventional Pain & Spine Specialists of Canada [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => Sarah.lacelle@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Appointment Escorts [q19_nameOf] => [q21_whatType21] => Array ( [0] => Medical Appointment Escort ) [q18_whenDo] => Array ( [other] => tues July 14, 3pm ) [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => Medically necessary ketamine infusion; legally required to have an escort home to leave the clinic [event_id] => 1783465927758_261674921986270_CV3daAm [timeToSubmit] => 27 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"La","id_10":"By","id_3":"Sa","id_8":"Sp","id_6":"Me"} [visitedPages] => {"1":true,"2":true,"3":true,"4":true} [path] => /submit/261674921986270 [q11_areYou] => [q14_whatAssistance] => [q20_whatType20] => [q22_whatType] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => Dacillo_Raymond [formID] => 261674921986270 [type] => WEB [customParams] => [product] => [formTitle] => Care Service Request [customTitle] => [submissionID] => 6592752712719574351 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261674921986270","jsExecutionTracker":"build-date-1783001148144=>init-started:1783465927757=>validator-called:1783465927768=>validator-mounted-false:1783465927768=>init-complete:1783465927775=>interval-complete:1783465955620=>onsubmit-fired:1783466071151=>observerSubmitHandler_received-submit-event:1783466071151=>submit-validation-passed:1783466071178=>observerSubmitHandler_validation-passed-submitting-form:1783466071189","submitSource":"form","submitDate":"1783466071189","buildDate":"1783001148144","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Sarah ","last":"Lacelle "},"q13_locationOf":" 1262 Don Mills Rd. #62, North York, ON M3B 2W7, Canada","q5_q5_textbox3":"Interventional Pain & Spine Specialists of Canada","q10_howWould":["By Email"],"q3_q3_email1":"Sarah.lacelle@gmail.com","q4_q4_phone2":{"full":""},"q8_whatService":"Medical Appointment Escorts","q19_nameOf":"","q21_whatType21":["Medical Appointment Escort"],"q18_whenDo":{"other":"tues July 14, 3pm"},"q23_howLong":["One-Time"],"q6_q6_textarea4":"Medically necessary ketamine infusion; legally required to have an escort home to leave the clinic","event_id":"1783465927758_261674921986270_CV3daAm","timeToSubmit":"27","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"La\",\"id_10\":\"By\",\"id_3\":\"Sa\",\"id_8\":\"Sp\",\"id_6\":\"Me\"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q11_areYou":"","q14_whatAssistance":"","q20_whatType20":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:Sarah Lacelle , Location of Service: 1262 Don Mills Rd. #62, North York, ON M3B 2W7, Canada, Company or Organization:Interventional Pain & Spine Specialists of Canada, How would you like us to contact you?:By Email, Email Address:Sarah.lacelle@gmail.com, What service are do you requesting?:Medical Appointment Escorts, What type of Medical Escort you are requiring?:Medical Appointment Escort, When do you need service to start?:tues July 14, 3pm, How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:Medically necessary ketamine infusion; legally required to have an escort home to leave the clinic [unread] => [parent] => [ip] => 5.148.144.172 ) -------------------------------------- --- New Lead Received: 2026-07-08 18:02:19 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1783001148144=>init-started:1783533510651=>validator-called:1783533510900=>validator-mounted-false:1783533510902=>init-complete:1783533510928=>interval-complete:1783533531926=>onsubmit-fired:1783533738028=>observerSubmitHandler_received-submit-event:1783533738031=>submit-validation-passed:1783533738062=>observerSubmitHandler_validation-passed-submitting-form:1783533738158 [submitSource] => form [submitDate] => 1783533738158 [buildDate] => 1783001148144 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Dan [last] => McAran ) [q13_locationOf] => Toronto [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => danmca@hotmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Appointment Escorts [q19_nameOf] => [q21_whatType21] => Array ( [0] => Post-Operative Procedure ) [q18_whenDo] => Array ( [other] => July 21 2026 Approx 10 am (to be confirmed ) [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => This is what I have been advised "The arrival time for this surgery is tentatively set at 7:45am, and we will call you 3 days prior to surgery to confirm the exact time. Please make sure to arrange for someone to pick you up after the surgery. The surgery procedure takes 20-30 minutes and your stay at the surgery center will be around 2-3 hours." 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The surgery procedure takes 20-30 minutes and your stay at the surgery center will be around 2-3 hours.\"","event_id":"1783533510652_261674921986270_bZJf18l","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Mc\",\"id_10\":\"By\",\"id_3\":\"da\",\"id_8\":\"Sp\",\"id_6\":\"Th\"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q11_areYou":"","q14_whatAssistance":"","q20_whatType20":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:Dan McAran, Location of Service:Toronto, How would you like us to contact you?:By Email, Email Address:danmca@hotmail.com, What service are do you requesting?:Medical Appointment Escorts, What type of Medical Escort you are requiring?:Post-Operative Procedure, When do you need service to start?:July 21 2026 Approx 10 am (to be confirmed, How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:This is what I have been advised "The arrival time for this surgery is tentatively set at 7:45am, and we will call you 3 days prior to surgery to confirm the exact time. Please make sure to arrange for someone to pick you up after the surgery. The surgery procedure takes 20-30 minutes and your stay at the surgery center will be around 2-3 hours." [unread] => [parent] => [ip] => 66.7.95.21 ) -------------------------------------- --- New Lead Received: 2026-07-10 13:08:07 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1783655732117=>init-started:1783688224546=>validator-called:1783688224557=>validator-mounted-false:1783688224558=>init-complete:1783688224560=>interval-complete:1783688245795=>onsubmit-fired:1783688885853=>observerSubmitHandler_received-submit-event:1783688885853=>submit-validation-passed:1783688885858=>observerSubmitHandler_validation-passed-submitting-form:1783688885868 [submitSource] => form [submitDate] => 1783688885868 [buildDate] => 1783655732117 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Jing [last] => Yan ) [q13_locationOf] => 7191 Yonge St, Markham, ON L3T 0C4 [q5_q5_textbox3] => IVF Canada [q10_howWould] => Array ( [0] => By Email [1] => By Phone ) [q3_q3_email1] => jingyanlive@hotmail.com [q4_q4_phone2] => Array ( [full] => (647) 885-9908 ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I will be undergoing an outpatient IVF egg retrieval procedure under conscious sedation at IVF Canada. The procedure itself takes approximately 15–30 minutes, followed by about 60 minutes of recovery at the clinic. The clinic requires that I have a responsible adult escort me home upon discharge. I will be attending the appointment alone and am looking for a professional medical escort or companion who can accompany me to the appointment, wait at the clinic during the procedure and recovery, escort me safely home (in Aurora) afterward, and, if recommended, remain with me briefly after arriving home. I would appreciate a quote for this service. 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The procedure itself takes approximately 15\u201330 minutes, followed by about 60 minutes of recovery at the clinic. The clinic requires that I have a responsible adult escort me home upon discharge. I will be attending the appointment alone and am looking for a professional medical escort or companion who can accompany me to the appointment, wait at the clinic during the procedure and recovery, escort me safely home (in Aurora) afterward, and, if recommended, remain with me briefly after arriving home. I would appreciate a quote for this service. ","event_id":"1783688224546_261185135750051_UGKosmU","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ya\",\"id_10\":\"By\",\"id_3\":\"ji\",\"id_4\":\"(6\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Jing Yan, Location of Service:7191 Yonge St, Markham, ON L3T 0C4, Company or Organization:IVF Canada, How would you like us to contact you?:By Email By Phone, Email Address:jingyanlive@hotmail.com, Phone Number:(647) 885-9908, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I will be undergoing an outpatient IVF egg retrieval procedure under conscious sedation at IVF Canada. The procedure itself takes approximately 15–30 minutes, followed by about 60 minutes of recovery at the clinic. The clinic requires that I have a responsible adult escort me home upon discharge. I will be attending the appointment alone and am looking for a professional medical escort or companion who can accompany me to the appointment, wait at the clinic during the procedure and recovery, escort me safely home (in Aurora) afterward, and, if recommended, remain with me briefly after arriving home. I would appreciate a quote for this service. [unread] => [parent] => [ip] => 86.48.15.193 ) -------------------------------------- --- New Lead Received: 2026-07-11 15:41:53 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1783655732117=>init-started:1783784214744=>validator-called:1783784214774=>validator-mounted-false:1783784214775=>init-complete:1783784214782=>interval-complete:1783784235787=>onsubmit-fired:1783784512192=>observerSubmitHandler_received-submit-event:1783784512193=>submit-validation-passed:1783784512204=>observerSubmitHandler_validation-passed-submitting-form:1783784512222 [submitSource] => form [submitDate] => 1783784512222 [buildDate] => 1783655732117 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Clayton [last] => Gilders ) [q13_locationOf] => Riverside hospital to 480 Metcalfe [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Phone ) [q3_q3_email1] => [q4_q4_phone2] => Array ( [full] => (613) 795-8326 ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I am having an endoscopy so need name to give as pickup and accompany to home - from Riverside hospital to door of 480 Metcalfe [event_id] => 1783784214745_261185135750051_NTwMCLe [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Gi","id_10":"By","id_4":"(6","id_8":"Sp","id_6":"I "} [path] => /submit/261185135750051 [q11_areYou] => [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => Dacillo_Raymond [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6595937118519947662 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1783655732117=>init-started:1783784214744=>validator-called:1783784214774=>validator-mounted-false:1783784214775=>init-complete:1783784214782=>interval-complete:1783784235787=>onsubmit-fired:1783784512192=>observerSubmitHandler_received-submit-event:1783784512193=>submit-validation-passed:1783784512204=>observerSubmitHandler_validation-passed-submitting-form:1783784512222","submitSource":"form","submitDate":"1783784512222","buildDate":"1783655732117","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Clayton ","last":"Gilders "},"q13_locationOf":"Riverside hospital to 480 Metcalfe ","q5_q5_textbox3":"","q10_howWould":["By Phone"],"q3_q3_email1":"","q4_q4_phone2":{"full":"(613) 795-8326"},"q8_whatService":"Medical Escorts","q6_q6_textarea4":"I am having an endoscopy so need name to give as pickup and accompany to home - from Riverside hospital to door of 480 Metcalfe ","event_id":"1783784214745_261185135750051_NTwMCLe","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Gi\",\"id_10\":\"By\",\"id_4\":\"(6\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Clayton Gilders , Location of Service:Riverside hospital to 480 Metcalfe , How would you like us to contact you?:By Phone, Phone Number:(613) 795-8326, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I am having an endoscopy so need name to give as pickup and accompany to home - from Riverside hospital to door of 480 Metcalfe [unread] => [parent] => [ip] => 24.114.103.158 ) -------------------------------------- --- New Lead Received: 2026-07-13 17:43:26 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1783655732117=>init-started:1783964415413=>validator-called:1783964415424=>validator-mounted-false:1783964415424=>init-complete:1783964415426=>interval-complete:1783964438798=>onsubmit-fired:1783964605692=>observerSubmitHandler_received-submit-event:1783964605692=>submit-validation-passed:1783964605701=>observerSubmitHandler_validation-passed-submitting-form:1783964605712 [submitSource] => form [submitDate] => 1783964605713 [buildDate] => 1783655732117 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Andrew [last] => Yacoub ) [q13_locationOf] => 76 Grenville Street [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => andrew-yacoub@hotmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => Would like an escort post surgery to take me home to 55 cooper street toronto from 76 Grenville Street, 8th Floor. Date July 23rd, 2026. 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[unread] => [parent] => [ip] => 24.36.65.140 ) -------------------------------------- --- New Lead Received: 2026-07-15 03:48:19 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784080828655=>init-started:1784087227496=>validator-called:1784087227542=>validator-mounted-false:1784087227543=>init-complete:1784087227553=>interval-complete:1784087248551=>onsubmit-fired:1784087298293=>observerSubmitHandler_received-submit-event:1784087298294=>submit-validation-passed:1784087298318=>observerSubmitHandler_validation-passed-submitting-form:1784087298337 [submitSource] => form [submitDate] => 1784087298337 [buildDate] => 1784080828655 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Deborah [last] => Roth ) [q13_locationOf] => Yonge and Davisville [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => dsroth85@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => Peripheral neuropathy [event_id] => 1784087227498_261185135750051_1s13f08 [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Ro","id_10":"By","id_3":"ds","id_8":"Sp","id_6":"Pe"} [path] => /submit/261185135750051 [q11_areYou] => [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6598964987774737136 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1784080828655=>init-started:1784087227496=>validator-called:1784087227542=>validator-mounted-false:1784087227543=>init-complete:1784087227553=>interval-complete:1784087248551=>onsubmit-fired:1784087298293=>observerSubmitHandler_received-submit-event:1784087298294=>submit-validation-passed:1784087298318=>observerSubmitHandler_validation-passed-submitting-form:1784087298337","submitSource":"form","submitDate":"1784087298337","buildDate":"1784080828655","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Deborah","last":"Roth"},"q13_locationOf":"Yonge and Davisville","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"dsroth85@gmail.com","q4_q4_phone2":{"full":""},"q8_whatService":"Medical Escorts","q6_q6_textarea4":"Peripheral neuropathy","event_id":"1784087227498_261185135750051_1s13f08","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ro\",\"id_10\":\"By\",\"id_3\":\"ds\",\"id_8\":\"Sp\",\"id_6\":\"Pe\"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Deborah Roth, Location of Service:Yonge and Davisville, How would you like us to contact you?:By Email, Email Address:dsroth85@gmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::Peripheral neuropathy [unread] => [parent] => [ip] => 199.7.157.77 ) -------------------------------------- --- New Lead Received: 2026-07-15 15:09:59 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1784093462986=>init-started:1784127940016=>validator-called:1784127940025=>validator-mounted-false:1784127940025=>init-complete:1784127940027=>interval-complete:1784127961029=>onsubmit-fired:1784128198095=>observerSubmitHandler_received-submit-event:1784128198096=>submit-validation-passed:1784128198102=>observerSubmitHandler_validation-passed-submitting-form:1784128198109 [submitSource] => form [submitDate] => 1784128198109 [buildDate] => 1784093462986 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => James [last] => Genn ) [q13_locationOf] => 90 Bay Street, Suite 700 [q5_q5_textbox3] => Toronto Endoscopy [q10_howWould] => Array ( [0] => By Phone ) [q3_q3_email1] => [q4_q4_phone2] => Array ( [full] => (416) 878-4379 ) [q8_whatService] => Medical Appointment Escorts [q19_nameOf] => [q21_whatType21] => Array ( [0] => Medical Appointment Escort ) [q18_whenDo] => Array ( [other] => July 23rd 11am apointment, pickup at 2pm ) [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => Just looking for a "responsible adult' to pick me up after my endoscopy apointment at Toronto Endoscopy, and take me home. 954 King street west (king and Strachen). thank you. 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","event_id":"1784127940016_261674921986270_y2WLvbR","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ge\",\"id_10\":\"By\",\"id_4\":\"(4\",\"id_8\":\"Sp\",\"id_6\":\"Ju\"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q11_areYou":"","q14_whatAssistance":"","q20_whatType20":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:James Genn, Location of Service:90 Bay Street, Suite 700, Company or Organization:Toronto Endoscopy, How would you like us to contact you?:By Phone, Phone Number:(416) 878-4379, What service are do you requesting?:Medical Appointment Escorts, What type of Medical Escort you are requiring?:Medical Appointment Escort, When do you need service to start?:July 23rd 11am apointment, pickup at 2pm, How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:Just looking for a "responsible adult' to pick me up after my endoscopy apointment at Toronto Endoscopy, and take me home. 954 King street west (king and Strachen). thank you. [unread] => [parent] => [ip] => 66.234.37.3 ) -------------------------------------- --- New Lead Received: 2026-07-15 16:51:57 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784080828655=>init-started:1784134225865=>validator-called:1784134225876=>validator-mounted-false:1784134225876=>init-complete:1784134225878=>interval-complete:1784134246943=>onsubmit-fired:1784134313473=>observerSubmitHandler_received-submit-event:1784134313473=>submit-validation-passed:1784134313478=>observerSubmitHandler_validation-passed-submitting-form:1784134313483 [submitSource] => form [submitDate] => 1784134313483 [buildDate] => 1784080828655 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Rebecca [last] => Phillips ) [q13_locationOf] => Port elgin Ontario [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => becca.phillips252@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => Looking for transportation from a major cosmetic surgery in Toronto to Port Elgin. 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","event_id":"1784134225865_261185135750051_ug9YaAL","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ph\",\"id_10\":\"By\",\"id_3\":\"be\",\"id_8\":\"Sp\",\"id_6\":\"Lo\"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Rebecca Phillips , Location of Service:Port elgin Ontario, How would you like us to contact you?:By Email, Email Address:becca.phillips252@gmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::Looking for transportation from a major cosmetic surgery in Toronto to Port Elgin. [unread] => [parent] => [ip] => 24.138.185.109 ) -------------------------------------- --- New Lead Received: 2026-07-16 09:35:09 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784080828655=>init-started:1784194083487=>validator-called:1784194083517=>validator-mounted-false:1784194083519=>init-complete:1784194083530=>interval-complete:1784194104543=>onsubmit-fired:1784194508687=>observerSubmitHandler_received-submit-event:1784194508689=>submit-validation-passed:1784194508704=>observerSubmitHandler_validation-passed-submitting-form:1784194508724 [submitSource] => form [submitDate] => 1784194508724 [buildDate] => 1784080828655 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Anne [last] => Lowndes ) [q13_locationOf] => Bloor and Church, Toronto [q5_q5_textbox3] => Grace Rehab Hospital [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => anne.lowndes7@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Hospital Private Duty Care [q14_whatAssistance] => Array ( [0] => Companionship / supervision [1] => Repositioning ) [q6_q6_textarea4] => My husband is very slowly recovering from critical illness disease after a successful lung transplant in December. He is immobile, currently has a trach, feeding tube and catheter. His speech has been affected. I am with him from 10:00 am to 4:30 pm but he gets anxious going into the evening shift and we'd like someone to come and be with him from 4:00pm until 8:00pm. He may or may not need to be repositioned. 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He is immobile, currently has a trach, feeding tube and catheter. His speech has been affected. \r\nI am with him from 10:00 am to 4:30 pm but he gets anxious going into the evening shift and we'd like someone to come and be with him from 4:00pm until 8:00pm. He may or may not need to be repositioned.","event_id":"1784194083488_261185135750051_B8PszeT","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Lo\",\"id_10\":\"By\",\"id_3\":\"an\",\"id_8\":\"Sp\",\"id_6\":\"My\"}","path":"\/submit\/261185135750051","q11_areYou":""} [fromTable] => [appID] => [pretty] => Full Name:Anne Lowndes, Location of Service:Bloor and Church, Toronto, Company or Organization:Grace Rehab Hospital, How would you like us to contact you?:By Email, Email Address:anne.lowndes7@gmail.com, What service are you interested in?:Hospital Private Duty Care, What assistance is required? Select all that apply.:Companionship / supervision Repositioning, Please briefly describe your situation and the care or services you may be looking::My husband is very slowly recovering from critical illness disease after a successful lung transplant in December. He is immobile, currently has a trach, feeding tube and catheter. His speech has been affected. I am with him from 10:00 am to 4:30 pm but he gets anxious going into the evening shift and we'd like someone to come and be with him from 4:00pm until 8:00pm. He may or may not need to be repositioned. [unread] => [parent] => [ip] => 184.145.46.235 ) -------------------------------------- --- New Lead Received: 2026-07-17 11:36:25 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784250440132=>init-started:1784287996080=>validator-called:1784287996089=>validator-mounted-false:1784287996089=>init-complete:1784287996092=>interval-complete:1784288017092=>onsubmit-fired:1784288184519=>observerSubmitHandler_received-submit-event:1784288184519=>submit-validation-passed:1784288184524=>observerSubmitHandler_validation-passed-submitting-form:1784288184530 [submitSource] => form [submitDate] => 1784288184530 [buildDate] => 1784250440132 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Jeff [last] => Gougeon ) [q13_locationOf] => 263 Pharmacy Ave 808, Scarborough M1L3E8 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => jeff_gougeon@rogers.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [other] => Assistance in learning how to inject insulin ) [q11_areYou] => Yourself [q6_q6_textarea4] => I was just prescribed insulin, I require someone to assist me for a few days to help me understand how to do my injections. I have to take these daily, and am unsure how to do this correctly. 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I have to take these daily, and am unsure how to do this correctly.","event_id":"1784287996080_261185135750051_iJsc1Zu","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Go\",\"id_10\":\"By\",\"id_3\":\"je\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:Jeff Gougeon, Location of Service:263 Pharmacy Ave 808, Scarborough M1L3E8, How would you like us to contact you?:By Email, Email Address:jeff_gougeon@rogers.com, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Assistance in learning how to inject insulin, Are you requesting this service for::Yourself, Please briefly describe your situation and the care or services you may be looking::I was just prescribed insulin, I require someone to assist me for a few days to help me understand how to do my injections. I have to take these daily, and am unsure how to do this correctly. [unread] => [parent] => [ip] => 170.85.71.6 ) -------------------------------------- --- New Lead Received: 2026-07-17 18:56:12 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-07-17 18:56:13 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-07-18 13:23:40 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784250440132=>init-started:1784380706940=>validator-called:1784380707000=>validator-mounted-false:1784380707002=>init-complete:1784380707009=>interval-complete:1784380728013=>onsubmit-fired:1784381019133=>observerSubmitHandler_received-submit-event:1784381019134=>submit-validation-passed:1784381019147=>observerSubmitHandler_validation-passed-submitting-form:1784381019164 [submitSource] => form [submitDate] => 1784381019164 [buildDate] => 1784250440132 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Pamela [last] => Love ) [q13_locationOf] => 225 Consumers Road North York [q5_q5_textbox3] => North York General Wellness Centre [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => pamrobertson@rogers.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I am having cataract surgery on Monday July 27. Clinic requires person to physically escort me from the clinic. I can get myself there by Uber but require someone to go to the clinic and drive me home. The drive will be from 225 Consumers Road to my condo (drop off only required) at 160 Vanderhoof Avenue Toronto M4G 0B7. The escort does not require any medical expertise. Thank you for you quote. 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Clinic requires person to physically escort me from the clinic. I can get myself there by Uber but require someone to go to the clinic and drive me home. The drive will be from 225 Consumers Road to my condo (drop off only required) at 160 Vanderhoof Avenue Toronto M4G 0B7. The escort does not require any medical expertise. Thank you for you quote. The pick up time is estimated at 3 pm","event_id":"1784380706941_261185135750051_DZZiFSz","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Lo\",\"id_10\":\"By\",\"id_3\":\"pa\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Pamela Love, Location of Service:225 Consumers Road North York, Company or Organization:North York General Wellness Centre, How would you like us to contact you?:By Email, Email Address:pamrobertson@rogers.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I am having cataract surgery on Monday July 27. Clinic requires person to physically escort me from the clinic. I can get myself there by Uber but require someone to go to the clinic and drive me home. The drive will be from 225 Consumers Road to my condo (drop off only required) at 160 Vanderhoof Avenue Toronto M4G 0B7. The escort does not require any medical expertise. Thank you for you quote. The pick up time is estimated at 3 pm [unread] => [parent] => [ip] => 99.241.44.221 ) -------------------------------------- --- New Lead Received: 2026-07-19 03:57:26 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784250440132=>init-started:1784433256339=>validator-called:1784433256352=>validator-mounted-false:1784433256352=>init-complete:1784433256354=>interval-complete:1784433277432=>onsubmit-fired:1784433444979=>observerSubmitHandler_received-submit-event:1784433444980=>submit-validation-passed:1784433444989=>observerSubmitHandler_validation-passed-submitting-form:1784433444997 [submitSource] => form [submitDate] => 1784433444997 [buildDate] => 1784250440132 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Robert [last] => Martin ) [q13_locationOf] => 40 Holly Street, Toronto ON, M4S 3C3 [q5_q5_textbox3] => Holly Endoscopy [q10_howWould] => Array ( [0] => By Phone ) [q3_q3_email1] => [q4_q4_phone2] => Array ( [full] => (416) 561-1973 ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => Need to be picked up after colonoscopy and escorted to hotel at 475 Yonge Street [event_id] => 1784433256339_261185135750051_3fyuzMY [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Ma","id_10":"By","id_4":"(4","id_8":"Sp","id_6":"Ne"} [path] => /submit/261185135750051 [q11_areYou] => [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6602426452318717026 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1784250440132=>init-started:1784433256339=>validator-called:1784433256352=>validator-mounted-false:1784433256352=>init-complete:1784433256354=>interval-complete:1784433277432=>onsubmit-fired:1784433444979=>observerSubmitHandler_received-submit-event:1784433444980=>submit-validation-passed:1784433444989=>observerSubmitHandler_validation-passed-submitting-form:1784433444997","submitSource":"form","submitDate":"1784433444997","buildDate":"1784250440132","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Robert","last":"Martin"},"q13_locationOf":"40 Holly Street, Toronto ON, M4S 3C3","q5_q5_textbox3":"Holly Endoscopy","q10_howWould":["By Phone"],"q3_q3_email1":"","q4_q4_phone2":{"full":"(416) 561-1973"},"q8_whatService":"Medical Escorts","q6_q6_textarea4":"Need to be picked up after colonoscopy and escorted to hotel at 475 Yonge Street","event_id":"1784433256339_261185135750051_3fyuzMY","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ma\",\"id_10\":\"By\",\"id_4\":\"(4\",\"id_8\":\"Sp\",\"id_6\":\"Ne\"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Robert Martin, Location of Service:40 Holly Street, Toronto ON, M4S 3C3, Company or Organization:Holly Endoscopy, How would you like us to contact you?:By Phone, Phone Number:(416) 561-1973, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::Need to be picked up after colonoscopy and escorted to hotel at 475 Yonge Street [unread] => [parent] => [ip] => 108.180.68.132 ) -------------------------------------- --- New Lead Received: 2026-07-19 13:12:20 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1784250498743=>init-started:1784466519578=>validator-called:1784466519593=>validator-mounted-false:1784466519594=>init-complete:1784466519599=>interval-complete:1784466540599=>onsubmit-fired:1784466551728=>observerSubmitHandler_received-submit-event:1784466551728=>submit-validation-passed:1784466551735=>observerSubmitHandler_validation-passed-submitting-form:1784466551744 [submitSource] => form [submitDate] => 1784466551744 [buildDate] => 1784250498743 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => ariane [last] => smith ) [q13_locationOf] => Hillcrest Reactivation Center [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => arizone@mac.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Appointment Escorts [q19_nameOf] => [q21_whatType21] => Array ( [0] => Medical Appointment Escort ) [q18_whenDo] => other [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => PSW to pick me up at Hillcrest Reactivation center - 47 Austin Terrace, Toronto, M5R 1Y8 - room 304 Take to Mount sinai Hospital - Fracture clinic - room 504 for x-ray + consultation Bring me back to Hillcrest. I would like C-care to make transportation arrangements with the Dignity Company, as per last week reservation on July 16. 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I would like C-care to make transportation arrangements with the Dignity Company, as per last week reservation on July 16. [unread] => [parent] => [ip] => 37.19.195.75 ) -------------------------------------- --- New Lead Received: 2026-07-19 17:23:14 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1784250498743=>init-started:1784481031098=>validator-called:1784481031119=>validator-mounted-false:1784481031119=>init-complete:1784481031124=>interval-complete:1784481053523=>onsubmit-fired:1784481792849=>observerSubmitHandler_received-submit-event:1784481792850=>submit-validation-passed:1784481792871=>observerSubmitHandler_validation-passed-submitting-form:1784481792885 [submitSource] => form [submitDate] => 1784481792885 [buildDate] => 1784250498743 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Mazen [last] => El-Abdallah ) [q13_locationOf] => 25 earlington ave, Etobicoke M8X 3A3 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => mazen@mazenstudio.ca [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Registered Nurse / Registered Practical Nurse ) [q19_nameOf] => [q11_areYou] => Someone else [q18_whenDo] => Array ( [other] => Sunday August 2nd afternoon ) [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => Administer insulin needle [event_id] => 1784481031098_261674921986270_TVLjdQS [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"El","id_10":"By","id_3":"ma","id_8":"Sp","id_11":"So","id_6":"Ad"} [visitedPages] => {"1":true,"2":true,"3":true,"4":true} [path] => /submit/261674921986270 [q20_whatType20] => [q21_whatType21] => [q22_whatType] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261674921986270 [type] => WEB [customParams] => [product] => [formTitle] => Care Service Request [customTitle] => [submissionID] => 6602909937513107957 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261674921986270","jsExecutionTracker":"build-date-1784250498743=>init-started:1784481031098=>validator-called:1784481031119=>validator-mounted-false:1784481031119=>init-complete:1784481031124=>interval-complete:1784481053523=>onsubmit-fired:1784481792849=>observerSubmitHandler_received-submit-event:1784481792850=>submit-validation-passed:1784481792871=>observerSubmitHandler_validation-passed-submitting-form:1784481792885","submitSource":"form","submitDate":"1784481792885","buildDate":"1784250498743","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Mazen","last":"El-Abdallah"},"q13_locationOf":"25 earlington ave, Etobicoke M8X 3A3","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"mazen@mazenstudio.ca","q4_q4_phone2":{"full":""},"q8_whatService":"Home Care Services","q14_whatAssistance":["Registered Nurse \/ Registered Practical Nurse"],"q19_nameOf":"","q11_areYou":"Someone else","q18_whenDo":{"other":"Sunday August 2nd afternoon "},"q23_howLong":["One-Time"],"q6_q6_textarea4":"Administer insulin needle ","event_id":"1784481031098_261674921986270_TVLjdQS","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"El\",\"id_10\":\"By\",\"id_3\":\"ma\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"Ad\"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q20_whatType20":"","q21_whatType21":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:Mazen El-Abdallah, Location of Service:25 earlington ave, Etobicoke M8X 3A3, How would you like us to contact you?:By Email, Email Address:mazen@mazenstudio.ca, What service are do you requesting?:Home Care Services, What assistance is required? Select all that apply.:Registered Nurse / Registered Practical Nurse, Are you requesting this service for::Someone else, When do you need service to start?:Sunday August 2nd afternoon , How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:Administer insulin needle [unread] => [parent] => [ip] => 72.143.205.157 ) -------------------------------------- --- New Lead Received: 2026-07-20 23:13:10 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784250440132=>init-started:1784589104578=>validator-called:1784589104591=>validator-mounted-false:1784589104591=>init-complete:1784589104595=>interval-complete:1784589125596=>onsubmit-fired:1784589186674=>observerSubmitHandler_received-submit-event:1784589186674=>submit-validation-passed:1784589186681=>observerSubmitHandler_validation-passed-submitting-form:1784589186691 [submitSource] => form [submitDate] => 1784589186691 [buildDate] => 1784250440132 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Shari [last] => Dale ) [q13_locationOf] => Toronto [q5_q5_textbox3] => Private [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => sharidale@hotmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I have a cosmetice suregry in tornoto I will drive myself to and stay overnight. I would need a driver to drive me and my car home the following day. 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Is this possible, or is there other suggestion I live in Campbellford Ontario [unread] => [parent] => [ip] => 173.210.220.75 ) -------------------------------------- --- New Lead Received: 2026-07-22 19:02:18 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784250440132=>init-started:1784746421448=>validator-called:1784746421459=>validator-mounted-false:1784746421459=>init-complete:1784746421462=>interval-complete:1784746442524=>onsubmit-fired:1784746806200=>observerSubmitHandler_received-submit-event:1784746806201=>onsubmit-fired:1784746937340=>observerSubmitHandler_received-submit-event:1784746937340=>submit-validation-passed:1784746937351=>observerSubmitHandler_validation-passed-submitting-form:1784746937361 [submitSource] => form [submitDate] => 1784746937361 [buildDate] => 1784250440132 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Joshua [last] => Deal ) [q13_locationOf] => Toronto [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => joshuadealrn@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Bathing / hygiene [1] => Dressing / grooming [2] => Meal assistance / feeding [3] => Mobility assistance [4] => Medication reminders [5] => Catheter care ) [q11_areYou] => Someone else [q6_q6_textarea4] => 83yo male. 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Infrequently visits Toronto for 1-3 weeks at a time periodically throughout the year. Supplemental O2, medications and vitals TID, foley catheter cleaning\/emptying\/day and night bag changes, his wife can do much of the care. Occational food prep, low-sodium cardiac diet, help with dressing. Mobilizes with rollator for short distances (ie around the house) or wheelchair for longer trips. He is self-directed. \r\nMay also be interested in medical escorts to travel from Ithaca, NY to Toronto by car. Please send an updated service agreement with rate. He is not interested in RN care at this point but RPN only at this time. However, please list RN rate as well.","event_id":"1784746421448_261185135750051_9FJxkNq","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"De\",\"id_10\":\"By\",\"id_3\":\"jo\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"83\"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:Joshua Deal, Location of Service:Toronto, How would you like us to contact you?:By Email, Email Address:joshuadealrn@gmail.com, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Bathing / hygiene Dressing / grooming Meal assistance / feeding Mobility assistance Medication reminders Catheter care, Are you requesting this service for::Someone else, Please briefly describe your situation and the care or services you may be looking::83yo male. Infrequently visits Toronto for 1-3 weeks at a time periodically throughout the year. Supplemental O2, medications and vitals TID, foley catheter cleaning/emptying/day and night bag changes, his wife can do much of the care. Occational food prep, low-sodium cardiac diet, help with dressing. Mobilizes with rollator for short distances (ie around the house) or wheelchair for longer trips. He is self-directed. May also be interested in medical escorts to travel from Ithaca, NY to Toronto by car. Please send an updated service agreement with rate. He is not interested in RN care at this point but RPN only at this time. However, please list RN rate as well. [unread] => [parent] => [ip] => 67.254.224.58 ) -------------------------------------- --- New Lead Received: 2026-07-23 19:32:46 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784250440132=>init-started:1784835075689=>validator-called:1784835075702=>validator-mounted-false:1784835075703=>init-complete:1784835075705=>interval-complete:1784835096705=>onsubmit-fired:1784835164382=>observerSubmitHandler_received-submit-event:1784835164382=>submit-validation-passed:1784835164393=>observerSubmitHandler_validation-passed-submitting-form:1784835164421 [submitSource] => form [submitDate] => 1784835164421 [buildDate] => 1784250440132 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Tony [last] => Guo ) [q13_locationOf] => North York [q5_q5_textbox3] => The Toronto GI Clinic [q10_howWould] => Array ( [0] => By Email [1] => By Phone ) [q3_q3_email1] => tonyguo20034@gmail.com [q4_q4_phone2] => Array ( [full] => (647) 865-6580 ) [q8_whatService] => Healthcare Facility Staffing [q6_q6_textarea4] => I run a endoscopy center. Need coverage for 1 day, July 27, 2026. The nurse would be assisting in the recovery room after patients undergo their colonoscopies and gastroscopies. 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Need coverage for 1 day, July 27, 2026. The nurse would be assisting in the recovery room after patients undergo their colonoscopies and gastroscopies.","event_id":"1784835075689_261185135750051_hRz5P60","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Gu\",\"id_10\":\"By\",\"id_3\":\"to\",\"id_4\":\"(6\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Tony Guo, Location of Service:North York, Company or Organization:The Toronto GI Clinic, How would you like us to contact you?:By Email By Phone, Email Address:tonyguo20034@gmail.com, Phone Number:(647) 865-6580, What service are you interested in?:Healthcare Facility Staffing, Please briefly describe your situation and the care or services you may be looking::I run a endoscopy center. Need coverage for 1 day, July 27, 2026. The nurse would be assisting in the recovery room after patients undergo their colonoscopies and gastroscopies. [unread] => [parent] => [ip] => 142.114.217.133 ) -------------------------------------- --- New Lead Received: 2026-07-23 21:07:17 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784250440132=>init-started:1784840602126=>validator-called:1784840602137=>validator-mounted-false:1784840602137=>init-complete:1784840602139=>interval-complete:1784840623207=>onsubmit-fired:1784840835438=>observerSubmitHandler_received-submit-event:1784840835438=>submit-validation-passed:1784840835447=>observerSubmitHandler_validation-passed-submitting-form:1784840835453 [submitSource] => form [submitDate] => 1784840835453 [buildDate] => 1784250440132 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Tammera [last] => Ellis ) [q13_locationOf] => Ajax Pickering hospital [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Phone ) [q3_q3_email1] => [q4_q4_phone2] => Array ( [full] => (905) 213-7266 ) [q8_whatService] => Specialized Home Care [q6_q6_textarea4] => I require someone to pick me up and take me home from Ajax to Oshawa after my surgery scheduled for Aug 14 I have to be at hospital for 8:00 which I am able to do but require a ride home. I’m am willing to pay for Uber or gas money. 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[unread] => [parent] => [ip] => 142.159.34.155 ) -------------------------------------- --- New Lead Received: 2026-07-24 19:38:27 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784863373253=>init-started:1784921829219=>validator-called:1784921829321=>validator-mounted-false:1784921829324=>init-complete:1784921829350=>interval-complete:1784921850373=>onsubmit-fired:1784921905379=>observerSubmitHandler_received-submit-event:1784921905384=>submit-validation-passed:1784921905539=>observerSubmitHandler_validation-passed-submitting-form:1784921905597 [submitSource] => form [submitDate] => 1784921905597 [buildDate] => 1784863373253 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => John [last] => dsa ) [q13_locationOf] => Mississauga [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email [1] => By Phone ) [q3_q3_email1] => pdsa2001@gmail.com [q4_q4_phone2] => Array ( [full] => (709) 746-4437 ) [q8_whatService] => Home Care Services [q11_areYou] => Someone else [q6_q6_textarea4] => I am looking for a respite worker for my autistic son 14 years old [event_id] => 1784921829222_261185135750051_yo1oLPN [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"ds","id_10":"By","id_3":"pd","id_4":"(7","id_8":"Sp","id_11":"So","id_6":"I "} [path] => /submit/261185135750051 [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6607311068311583195 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1784863373253=>init-started:1784921829219=>validator-called:1784921829321=>validator-mounted-false:1784921829324=>init-complete:1784921829350=>interval-complete:1784921850373=>onsubmit-fired:1784921905379=>observerSubmitHandler_received-submit-event:1784921905384=>submit-validation-passed:1784921905539=>observerSubmitHandler_validation-passed-submitting-form:1784921905597","submitSource":"form","submitDate":"1784921905597","buildDate":"1784863373253","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"John","last":"dsa"},"q13_locationOf":"Mississauga","q5_q5_textbox3":"","q10_howWould":["By Email","By Phone"],"q3_q3_email1":"pdsa2001@gmail.com","q4_q4_phone2":{"full":"(709) 746-4437"},"q8_whatService":"Home Care Services","q11_areYou":"Someone else","q6_q6_textarea4":"I am looking for a respite worker for my autistic son 14 years old","event_id":"1784921829222_261185135750051_yo1oLPN","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"ds\",\"id_10\":\"By\",\"id_3\":\"pd\",\"id_4\":\"(7\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:John dsa, Location of Service:Mississauga, How would you like us to contact you?:By Email By Phone, Email Address:pdsa2001@gmail.com, Phone Number:(709) 746-4437, What service are you interested in?:Home Care Services, Are you requesting this service for::Someone else, Please briefly describe your situation and the care or services you may be looking::I am looking for a respite worker for my autistic son 14 years old [unread] => [parent] => [ip] => 69.158.246.138 ) -------------------------------------- --- New Lead Received: 2026-07-25 21:10:49 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784863373253=>init-started:1785013624275=>validator-called:1785013624292=>validator-mounted-false:1785013624292=>init-complete:1785013624297=>interval-complete:1785013645314=>onsubmit-fired:1785013848049=>observerSubmitHandler_received-submit-event:1785013848049=>submit-validation-passed:1785013848060=>observerSubmitHandler_validation-passed-submitting-form:1785013848093 [submitSource] => form [submitDate] => 1785013848093 [buildDate] => 1784863373253 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Michelle [last] => Fish ) [q13_locationOf] => Toronto [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => mfish8@sumpatico.ca [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I’m a healthy 64 year old female living in downtown Toronto who is on a waitlist for an endoscope through Mount Sinai hospital. I need an escort for mild sedation to escort me to and from hospital back home after the test. 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[unread] => [parent] => [ip] => 142.198.90.71 ) -------------------------------------- --- New Lead Received: 2026-07-26 20:09:28 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784863373253=>init-started:1785096383386=>validator-called:1785096383396=>validator-mounted-false:1785096383396=>init-complete:1785096383398=>interval-complete:1785096404477=>onsubmit-fired:1785096567686=>observerSubmitHandler_received-submit-event:1785096567687=>submit-validation-passed:1785096567696=>observerSubmitHandler_validation-passed-submitting-form:1785096567701 [submitSource] => form [submitDate] => 1785096567701 [buildDate] => 1784863373253 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Aspasia [last] => Karalis ) [q13_locationOf] => Hôpital du Sacré-Coeur de Montréal [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email [1] => By Phone ) [q3_q3_email1] => karalis.aspasia@gmail.com [q4_q4_phone2] => Array ( [full] => (514) 290-2779 ) [q8_whatService] => Hospital Private Duty Care [q14_whatAssistance] => Array ( [0] => Meal assistance / feeding [1] => Repositioning [2] => Dementia support [3] => Fall-risk monitoring ) [q6_q6_textarea4] => 90 year old male with mixed dementia. Suffered a fall. Recovering on a surgical floor. Gets day/night confusion and risks getting out of bed at nighttime. Need a nighttime aide who will remain COMPLETELY AWAKE MIDNIGHT TO 8AM as these are his “awake” hours and he can be quick to get out of bed despite his injury. 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Suffered a fall. Recovering on a surgical floor. Gets day\/night confusion and risks getting out of bed at nighttime. \r\nNeed a nighttime aide who will remain COMPLETELY AWAKE MIDNIGHT TO 8AM as these are his \u201cawake\u201d hours and he can be quick to get out of bed despite his injury. ","event_id":"1785096383386_261185135750051_a9UtD1B","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ka\",\"id_10\":\"By\",\"id_3\":\"ka\",\"id_4\":\"(5\",\"id_8\":\"Sp\",\"id_6\":\"90\"}","path":"\/submit\/261185135750051","q11_areYou":""} [fromTable] => [appID] => [pretty] => Full Name:Aspasia Karalis, Location of Service:Hôpital du Sacré-Coeur de Montréal , How would you like us to contact you?:By Email By Phone, Email Address:karalis.aspasia@gmail.com, Phone Number:(514) 290-2779, What service are you interested in?:Hospital Private Duty Care, What assistance is required? Select all that apply.:Meal assistance / feeding Repositioning Dementia support Fall-risk monitoring, Please briefly describe your situation and the care or services you may be looking::90 year old male with mixed dementia. Suffered a fall. Recovering on a surgical floor. Gets day/night confusion and risks getting out of bed at nighttime. Need a nighttime aide who will remain COMPLETELY AWAKE MIDNIGHT TO 8AM as these are his “awake” hours and he can be quick to get out of bed despite his injury. [unread] => [parent] => [ip] => 67.69.76.130 ) -------------------------------------- --- New Lead Received: 2026-07-26 23:10:17 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1784863373253=>init-started:1785107302120=>validator-called:1785107302134=>validator-mounted-false:1785107302134=>init-complete:1785107302136=>interval-complete:1785107323198=>onsubmit-fired:1785107416439=>observerSubmitHandler_received-submit-event:1785107416440=>submit-validation-passed:1785107416447=>observerSubmitHandler_validation-passed-submitting-form:1785107416452 [submitSource] => form [submitDate] => 1785107416453 [buildDate] => 1784863373253 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Aliya [last] => Dhalla ) [q13_locationOf] => Burnaby [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => aliyadhalla@outlook.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Companionship / supervision ) [q11_areYou] => Yourself [q6_q6_textarea4] => I will be having a medical procedure with sedation and will need someone to pick me up. 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Select all that apply.:Companionship / supervision, Are you requesting this service for::Yourself, Please briefly describe your situation and the care or services you may be looking::I will be having a medical procedure with sedation and will need someone to pick me up. 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[unread] => [parent] => [ip] => 172.225.255.17 ) -------------------------------------- --- New Lead Received: 2026-07-27 18:30:48 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785174282779=>init-started:1785176685747=>validator-called:1785176685762=>validator-mounted-false:1785176685763=>init-complete:1785176685766=>interval-complete:1785176706767=>onsubmit-fired:1785177046504=>observerSubmitHandler_received-submit-event:1785177046504=>submit-validation-passed:1785177046516=>observerSubmitHandler_validation-passed-submitting-form:1785177046528 [submitSource] => form [submitDate] => 1785177046528 [buildDate] => 1785174282779 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Colleen [last] => Zouhar ) [q13_locationOf] => Toronto [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => colleenz@sympatico.ca [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => Hello. 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Require escort from Herzig Eye Institute to local hotel for rest due to possible blurry vision.","event_id":"1785203798226_261674921986270_EZajSTq","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Fe\",\"id_10\":\"By\",\"id_3\":\"ke\",\"id_8\":\"Sp\",\"id_6\":\"La\"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q11_areYou":"","q14_whatAssistance":"","q20_whatType20":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:Kevin Ferguson, Location of Service:Toronto, Company or Organization:Herzig Eye Institute Toronto, How would you like us to contact you?:By Email, Email Address:kevfer@hotmail.com, What service are do you requesting?:Medical Appointment Escorts, What type of Medical Escort you are requiring?:Post-Operative Procedure, When do you need service to start?:August 26, 2026, How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:Laser eye surgury for one eye. Require escort from Herzig Eye Institute to local hotel for rest due to possible blurry vision. [unread] => [parent] => [ip] => 23.248.113.155 ) -------------------------------------- --- New Lead Received: 2026-07-28 14:48:35 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785174282779=>init-started:1785250007010=>validator-called:1785250007028=>validator-mounted-false:1785250007029=>init-complete:1785250007040=>interval-complete:1785250028385=>onsubmit-fired:1785250113908=>observerSubmitHandler_received-submit-event:1785250113909=>submit-validation-passed:1785250113949=>observerSubmitHandler_validation-passed-submitting-form:1785250113976 [submitSource] => form [submitDate] => 1785250113976 [buildDate] => 1785174282779 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Leanne [last] => Escobal ) [q13_locationOf] => Yonge and Eglinton [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => trueblue316@hotmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I will be doing an endoscopy and am required to have a medical escort at pickup. My apartment is a 10-minute walk from the clinic so I would need someone to walk with me. 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My apartment is a 10-minute walk from the clinic so I would need someone to walk with me.","event_id":"1785250007011_261185135750051_Sv9LWF7","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Es\",\"id_10\":\"By\",\"id_3\":\"tr\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Leanne Escobal, Location of Service:Yonge and Eglinton, How would you like us to contact you?:By Email, Email Address:trueblue316@hotmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I will be doing an endoscopy and am required to have a medical escort at pickup. My apartment is a 10-minute walk from the clinic so I would need someone to walk with me. [unread] => [parent] => [ip] => 99.246.232.82 ) -------------------------------------- --- New Lead Received: 2026-07-29 03:01:25 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785174282779=>init-started:1785293804858=>validator-called:1785293804871=>validator-mounted-false:1785293804871=>init-complete:1785293804873=>interval-complete:1785293825942=>onsubmit-fired:1785294084044=>observerSubmitHandler_received-submit-event:1785294084045=>submit-validation-passed:1785294084053=>observerSubmitHandler_validation-passed-submitting-form:1785294084059 [submitSource] => form [submitDate] => 1785294084059 [buildDate] => 1785174282779 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Garthigga [last] => Yoganathan ) [q13_locationOf] => Mccowan and steels [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email [1] => By Phone ) [q3_q3_email1] => garthiyoganathan20@gmail.com [q4_q4_phone2] => Array ( [full] => (647) 703-3595 ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Companionship / supervision [1] => Bathing / hygiene [2] => Toileting / incontinence care [3] => Dressing / grooming [4] => Meal assistance / feeding [5] => Mobility assistance [6] => Transfers [7] => Repositioning ) [q11_areYou] => Someone else [q6_q6_textarea4] => I would like someone to feed , bath and change diapers . My grandma currently doesn't get of bed when she does she unable to get out without assistance. She needs assistance with all the basic hygiene. Also preferred Tamil speaking . 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My grandma currently doesn't get of bed when she does she unable to get out without assistance. She needs assistance with all the basic hygiene. Also preferred Tamil speaking . ","event_id":"1785293804859_261185135750051_TdV5I05","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Yo\",\"id_10\":\"By\",\"id_3\":\"ga\",\"id_4\":\"(6\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:Garthigga Yoganathan, Location of Service:Mccowan and steels , How would you like us to contact you?:By Email By Phone, Email Address:garthiyoganathan20@gmail.com, Phone Number:(647) 703-3595, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Companionship / supervision Bathing / hygiene Toileting / incontinence care Dressing / grooming Meal assistance / feeding Mobility assistance Transfers Repositioning, Are you requesting this service for::Someone else, Please briefly describe your situation and the care or services you may be looking::I would like someone to feed , bath and change diapers . My grandma currently doesn't get of bed when she does she unable to get out without assistance. She needs assistance with all the basic hygiene. Also preferred Tamil speaking . [unread] => [parent] => [ip] => 99.227.20.86 ) -------------------------------------- --- New Lead Received: 2026-07-29 12:43:33 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785174282779=>init-started:1785328872947=>validator-called:1785328872962=>validator-mounted-false:1785328872962=>init-complete:1785328872964=>interval-complete:1785328894034=>onsubmit-fired:1785328964529=>observerSubmitHandler_received-submit-event:1785328964530=>onsubmit-fired:1785329007490=>observerSubmitHandler_received-submit-event:1785329007490=>submit-validation-passed:1785329007500=>observerSubmitHandler_validation-passed-submitting-form:1785329007512 [submitSource] => form [submitDate] => 1785329007512 [buildDate] => 1785174282779 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Marla [last] => Pichler ) [q13_locationOf] => Midtown toronto [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => marla.pichler@icloud.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [other] => Light exercise and walking ) [q11_areYou] => Someone else [q6_q6_textarea4] => Well educated elderly woman needing a walking partner and someone to do easy gym program at home. 3 mornings per week [event_id] => 1785328872947_261185135750051_HcyeYCG [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Pi","id_10":"By","id_3":"ma","id_8":"Sp","id_11":"So","id_6":"We"} [path] => /submit/261185135750051 ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6611382073123778219 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1785174282779=>init-started:1785328872947=>validator-called:1785328872962=>validator-mounted-false:1785328872962=>init-complete:1785328872964=>interval-complete:1785328894034=>onsubmit-fired:1785328964529=>observerSubmitHandler_received-submit-event:1785328964530=>onsubmit-fired:1785329007490=>observerSubmitHandler_received-submit-event:1785329007490=>submit-validation-passed:1785329007500=>observerSubmitHandler_validation-passed-submitting-form:1785329007512","submitSource":"form","submitDate":"1785329007512","buildDate":"1785174282779","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Marla","last":"Pichler"},"q13_locationOf":"Midtown toronto","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"marla.pichler@icloud.com","q4_q4_phone2":{"full":""},"q8_whatService":"Home Care Services","q14_whatAssistance":{"other":"Light exercise and walking"},"q11_areYou":"Someone else","q6_q6_textarea4":"Well educated elderly woman needing a walking partner and someone to do easy gym program at home. 3 mornings per week\r\n","event_id":"1785328872947_261185135750051_HcyeYCG","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Pi\",\"id_10\":\"By\",\"id_3\":\"ma\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"We\"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:Marla Pichler, Location of Service:Midtown toronto, How would you like us to contact you?:By Email, Email Address:marla.pichler@icloud.com, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Light exercise and walking, Are you requesting this service for::Someone else, Please briefly describe your situation and the care or services you may be looking::Well educated elderly woman needing a walking partner and someone to do easy gym program at home. 3 mornings per week [unread] => [parent] => [ip] => 72.136.109.213 ) -------------------------------------- --- New Lead Received: 2026-07-29 22:59:01 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1785177570375=>init-started:1785365909496=>validator-called:1785365909505=>validator-mounted-false:1785365909505=>init-complete:1785365909508=>interval-complete:1785365930508=>onsubmit-fired:1785365940251=>observerSubmitHandler_received-submit-event:1785365940251=>submit-validation-passed:1785365940254=>observerSubmitHandler_validation-passed-submitting-form:1785365940262 [submitSource] => form [submitDate] => 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details that may help us better understand your circumstances and coordinate appropriate support.:Test [unread] => [parent] => [ip] => 70.49.234.204 ) -------------------------------------- --- New Lead Received: 2026-07-29 22:59:24 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785174282779=>init-started:1785365945966=>validator-called:1785365945974=>validator-mounted-false:1785365945974=>init-complete:1785365945977=>onsubmit-fired:1785365964041=>observerSubmitHandler_received-submit-event:1785365964042=>submit-validation-passed:1785365964045=>observerSubmitHandler_validation-passed-submitting-form:1785365964051 [submitSource] => form [submitDate] => 1785365964051 [buildDate] => 1785174282779 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Raymond [last] => Dacillo ) [q13_locationOf] => C-Care [q5_q5_textbox3] => C-Care 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I wonder if this is the service you provide and if so what the estimated cost would be? 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[unread] => [parent] => [ip] => 142.117.34.70 ) -------------------------------------- --- New Lead Received: 2026-07-30 11:53:41 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-07-30 13:31:29 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785376693787=>init-started:1785418074272=>validator-called:1785418074282=>validator-mounted-false:1785418074282=>init-complete:1785418074285=>interval-complete:1785418095353=>onsubmit-fired:1785418222479=>observerSubmitHandler_received-submit-event:1785418222480=>onsubmit-fired:1785418287563=>observerSubmitHandler_received-submit-event:1785418287563=>submit-validation-passed:1785418287570=>observerSubmitHandler_validation-passed-submitting-form:1785418287577 [submitSource] => form [submitDate] => 1785418287577 [buildDate] => 1785376693787 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Frances [last] => McKeague ) [q13_locationOf] => 15 Juniper Avenue, Toronto, M4L1S1 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => fmckeague@rogers.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I will be having knee replacement surgery at Toronto Western sometime in the New Year, date not set as yet. Would like a quote for transportation to and from hospital and home care following for 2-3 days. 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Thank you [unread] => [parent] => [ip] => 99.237.250.38 ) -------------------------------------- --- New Lead Received: 2026-07-30 18:36:09 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785376693787=>init-started:1785436193794=>validator-called:1785436193839=>validator-mounted-false:1785436193841=>init-complete:1785436193856=>interval-complete:1785436214858=>onsubmit-fired:1785436565754=>observerSubmitHandler_received-submit-event:1785436565755=>submit-validation-passed:1785436565776=>observerSubmitHandler_validation-passed-submitting-form:1785436565806 [submitSource] => form [submitDate] => 1785436565806 [buildDate] => 1785376693787 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Rehana [last] => Khan ) [q13_locationOf] => trilliun hospital queensway [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => ranok_786@hotmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I will be getting a shoulder surgery on August 11th,2026,and would like a transportation from hospital to home. Also if you could give me a price for someone to stay with me for few hours at home just for that one day. 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Also if you could give me a price for someone to stay with me for few hours at home just for that one day. 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[unread] => [parent] => [ip] => 70.48.205.171 ) -------------------------------------- --- New Lead Received: 2026-07-30 19:36:07 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785440158592=>init-started:1785440162437=>validator-called:1785440162439=>validator-mounted-false:1785440162440=>init-complete:1785440162441=>onsubmit-fired:1785440166813=>observerSubmitHandler_received-submit-event:1785440166813=>submit-validation-passed:1785440166818=>observerSubmitHandler_validation-passed-submitting-form:1785440166821 [submitSource] => form [submitDate] => 1785440166821 [buildDate] => 1785440158592 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => textbox_sample0 [last] => textbox_sample1 ) [q13_locationOf] => textbox_sample2 [q5_q5_textbox3] => textbox_sample3 [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => john@example.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Meal assistance / feeding ) [q11_areYou] => Yourself [q6_q6_textarea4] => Lorem ipsum dolor sit amet, consectetur adipiscing elit. 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Nulla viverra mi in magna imperdiet volutpat.","timeToSubmit":"4","preview":"true","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"te\",\"id_10\":\"By\",\"id_3\":\"jo\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"Lo\"}","path":"\/submit\/261185135750051","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:textbox_sample0 textbox_sample1, Location of Service:textbox_sample2, Company or Organization:textbox_sample3, How would you like us to contact you?:By Email, Email Address:john@example.com, What service are you interested in?:Home Care Services, Are you requesting this service for::Yourself, Please briefly describe your situation and the care or services you may be looking::Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean mollis ultricies interdum. Nullam pharetra vitae lectus eget volutpat. Integer in sodales ligula. Vestibulum pellentesque arcu in est aliquam rhoncus. Curabitur et dui quis arcu scelerisque congue. 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[unread] => [parent] => [ip] => 70.48.205.171 ) -------------------------------------- --- New Lead Received: 2026-07-30 19:43:12 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785440583994=>init-started:1785440587125=>validator-called:1785440587129=>validator-mounted-false:1785440587129=>init-complete:1785440587130=>onsubmit-fired:1785440591587=>observerSubmitHandler_received-submit-event:1785440591587=>submit-validation-passed:1785440591590=>observerSubmitHandler_validation-passed-submitting-form:1785440591593 [submitSource] => form [submitDate] => 1785440591593 [buildDate] => 1785440583994 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => textbox_sample0 [last] => textbox_sample1 ) [q13_locationOf] => textbox_sample2 [q5_q5_textbox3] => textbox_sample3 [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => john@example.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q11_areYou] => Yourself [q6_q6_textarea4] => Lorem ipsum dolor sit amet, consectetur adipiscing elit. 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Nulla viverra mi in magna imperdiet volutpat.","timeToSubmit":"4","preview":"true","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"te\",\"id_10\":\"By\",\"id_3\":\"jo\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"Lo\"}","path":"\/submit\/261185135750051","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:textbox_sample0 textbox_sample1, Location of Service:textbox_sample2, Company or Organization:textbox_sample3, How would you like us to contact you?:By Email, Email Address:john@example.com, What service are you interested in?:Home Care Services, Are you requesting this service for::Yourself, Please briefly describe your situation and the care or services you may be looking::Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean mollis ultricies interdum. Nullam pharetra vitae lectus eget volutpat. Integer in sodales ligula. Vestibulum pellentesque arcu in est aliquam rhoncus. Curabitur et dui quis arcu scelerisque congue. 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[unread] => [parent] => [ip] => 70.48.205.171 ) -------------------------------------- --- New Lead Received: 2026-07-30 21:18:12 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785442796006=>init-started:1785446287096=>validator-called:1785446287100=>validator-mounted-false:1785446287100=>init-complete:1785446287102=>onsubmit-fired:1785446290204=>observerSubmitHandler_received-submit-event:1785446290205=>onsubmit-fired:1785446291831=>observerSubmitHandler_received-submit-event:1785446291831=>submit-validation-passed:1785446291834=>observerSubmitHandler_validation-passed-submitting-form:1785446291837 [submitSource] => form [submitDate] => 1785446291837 [buildDate] => 1785442796006 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => textbox_sample0 [last] => textbox_sample1 ) [q13_locationOf] => textbox_sample2 [q5_q5_textbox3] => textbox_sample3 [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => john@example.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q11_areYou] => Yourself [q6_q6_textarea4] => Lorem ipsum dolor sit amet, consectetur adipiscing elit. 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[timeToSubmit] => 4 [preview] => true [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"te","id_10":"By","id_3":"jo","id_8":"Sp","id_11":"So","id_6":"Lo"} [path] => /submit/261185135750051 [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6612554921719352031 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1785442796006=>init-started:1785446287096=>validator-called:1785446287100=>validator-mounted-false:1785446287100=>init-complete:1785446287102=>onsubmit-fired:1785446290204=>observerSubmitHandler_received-submit-event:1785446290205=>onsubmit-fired:1785446291831=>observerSubmitHandler_received-submit-event:1785446291831=>submit-validation-passed:1785446291834=>observerSubmitHandler_validation-passed-submitting-form:1785446291837","submitSource":"form","submitDate":"1785446291837","buildDate":"1785442796006","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"textbox_sample0","last":"textbox_sample1"},"q13_locationOf":"textbox_sample2","q5_q5_textbox3":"textbox_sample3","q10_howWould":["By Email"],"q3_q3_email1":"john@example.com","q4_q4_phone2":{"full":""},"q8_whatService":"Home Care Services","q11_areYou":"Yourself","q6_q6_textarea4":"Lorem ipsum dolor sit amet, consectetur adipiscing elit. 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Nulla viverra mi in magna imperdiet volutpat.","timeToSubmit":"4","preview":"true","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"te\",\"id_10\":\"By\",\"id_3\":\"jo\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"Lo\"}","path":"\/submit\/261185135750051","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:textbox_sample0 textbox_sample1, Location of Service:textbox_sample2, Company or Organization:textbox_sample3, How would you like us to contact you?:By Email, Email Address:john@example.com, What service are you interested in?:Home Care Services, Are you requesting this service for::Yourself, Please briefly describe your situation and the care or services you may be looking::Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean mollis ultricies interdum. Nullam pharetra vitae lectus eget volutpat. Integer in sodales ligula. Vestibulum pellentesque arcu in est aliquam rhoncus. Curabitur et dui quis arcu scelerisque congue. 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[unread] => [parent] => [ip] => 70.48.205.171 ) -------------------------------------- --- New Lead Received: 2026-07-30 21:32:43 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785447151532=>init-started:1785447157396=>validator-called:1785447157398=>validator-mounted-false:1785447157398=>init-complete:1785447157399=>onsubmit-fired:1785447162283=>observerSubmitHandler_received-submit-event:1785447162284=>submit-validation-passed:1785447162288=>observerSubmitHandler_validation-passed-submitting-form:1785447162292 [submitSource] => form [submitDate] => 1785447162292 [buildDate] => 1785447151532 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => textbox_sample0 [last] => textbox_sample1 ) [q13_locationOf] => textbox_sample2 [q5_q5_textbox3] => textbox_sample3 [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => john@example.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q11_areYou] => Yourself [q6_q6_textarea4] => Lorem ipsum dolor sit amet, consectetur adipiscing elit. 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Nulla viverra mi in magna imperdiet volutpat.","timeToSubmit":"4","preview":"true","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"te\",\"id_10\":\"By\",\"id_3\":\"jo\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"Lo\"}","path":"\/submit\/261185135750051","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:textbox_sample0 textbox_sample1, Location of Service:textbox_sample2, Company or Organization:textbox_sample3, How would you like us to contact you?:By Email, Email Address:john@example.com, What service are you interested in?:Home Care Services, Are you requesting this service for::Yourself, Please briefly describe your situation and the care or services you may be looking::Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean mollis ultricies interdum. Nullam pharetra vitae lectus eget volutpat. Integer in sodales ligula. Vestibulum pellentesque arcu in est aliquam rhoncus. Curabitur et dui quis arcu scelerisque congue. 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[unread] => [parent] => [ip] => 70.48.205.171 ) -------------------------------------- --- New Lead Received: 2026-07-30 21:35:33 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1785447321378=>init-started:1785447326677=>validator-called:1785447326680=>validator-mounted-false:1785447326680=>init-complete:1785447326683=>onsubmit-fired:1785447331884=>observerSubmitHandler_received-submit-event:1785447331884=>submit-validation-passed:1785447331887=>observerSubmitHandler_validation-passed-submitting-form:1785447331891 [submitSource] => form [submitDate] => 1785447331891 [buildDate] => 1785447321378 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => textbox_sample0 [last] => textbox_sample1 ) [q13_locationOf] => textbox_sample2 [q5_q5_textbox3] => textbox_sample3 [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => john@example.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q19_nameOf] => [q11_areYou] => Yourself [q18_whenDo] => Immediately / As soon as possible [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean mollis ultricies interdum. Nullam pharetra vitae lectus eget volutpat. Integer in sodales ligula. Vestibulum pellentesque arcu in est aliquam rhoncus. Curabitur et dui quis arcu scelerisque congue. Pellentesque libero ligula, sagittis a tempus quis, finibus eget erat. Nunc sed tempor nunc. Mauris tempor odio id lorem commodo dapibus. Nulla viverra mi in magna imperdiet volutpat. [timeToSubmit] => 5 [preview] => true [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"te","id_10":"By","id_3":"jo","id_8":"Sp","id_11":"So","id_6":"Lo"} [visitedPages] => {"1":true,"2":true,"3":true,"4":true} [path] => /submit/261674921986270 [q14_whatAssistance] => [q20_whatType20] => [q21_whatType21] => [q22_whatType] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261674921986270 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Immediate Care Service Request [customTitle] => [submissionID] => 6612565321716131601 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261674921986270","jsExecutionTracker":"build-date-1785447321378=>init-started:1785447326677=>validator-called:1785447326680=>validator-mounted-false:1785447326680=>init-complete:1785447326683=>onsubmit-fired:1785447331884=>observerSubmitHandler_received-submit-event:1785447331884=>submit-validation-passed:1785447331887=>observerSubmitHandler_validation-passed-submitting-form:1785447331891","submitSource":"form","submitDate":"1785447331891","buildDate":"1785447321378","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"textbox_sample0","last":"textbox_sample1"},"q13_locationOf":"textbox_sample2","q5_q5_textbox3":"textbox_sample3","q10_howWould":["By Email"],"q3_q3_email1":"john@example.com","q4_q4_phone2":{"full":""},"q8_whatService":"Home Care Services","q19_nameOf":"","q11_areYou":"Yourself","q18_whenDo":"Immediately \/ As soon as possible","q23_howLong":["One-Time"],"q6_q6_textarea4":"Lorem ipsum dolor sit amet, consectetur adipiscing elit. 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Nulla viverra mi in magna imperdiet volutpat.","timeToSubmit":"5","preview":"true","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"te\",\"id_10\":\"By\",\"id_3\":\"jo\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"Lo\"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q14_whatAssistance":"","q20_whatType20":"","q21_whatType21":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:textbox_sample0 textbox_sample1, Location of Service:textbox_sample2, Company or Organization:textbox_sample3, How would you like us to contact you?:By Email, Email Address:john@example.com, What service are do you requesting?:Home Care Services, Are you requesting this service for::Yourself, When do you need service to start?:Immediately / As soon as possible, How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:Lorem ipsum dolor sit amet, consectetur adipiscing elit. 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[unread] => [parent] => [ip] => 70.48.205.171 ) -------------------------------------- --- New Lead Received: 2026-07-30 21:40:40 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1785447631922=>init-started:1785447635202=>validator-called:1785447635205=>validator-mounted-false:1785447635205=>init-complete:1785447635206=>onsubmit-fired:1785447639898=>observerSubmitHandler_received-submit-event:1785447639898=>submit-validation-passed:1785447639902=>observerSubmitHandler_validation-passed-submitting-form:1785447639906 [submitSource] => form [submitDate] => 1785447639906 [buildDate] => 1785447631922 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => textbox_sample0 [last] => textbox_sample1 ) [q13_locationOf] => textbox_sample2 [q5_q5_textbox3] => textbox_sample3 [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => john@example.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q19_nameOf] => [q11_areYou] => Yourself [q18_whenDo] => Immediately / As soon as possible [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => Lorem ipsum dolor sit amet, consectetur adipiscing elit. 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[unread] => [parent] => [ip] => 70.48.205.171 ) -------------------------------------- --- New Lead Received: 2026-07-30 21:42:27 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785447740812=>init-started:1785447744301=>validator-called:1785447744304=>validator-mounted-false:1785447744304=>init-complete:1785447744305=>onsubmit-fired:1785447745785=>observerSubmitHandler_received-submit-event:1785447745785=>submit-validation-passed:1785447745788=>observerSubmitHandler_validation-passed-submitting-form:1785447745791 [submitSource] => form [submitDate] => 1785447745791 [buildDate] => 1785447740812 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => textbox_sample0 [last] => textbox_sample1 ) [q13_locationOf] => textbox_sample2 [q5_q5_textbox3] => textbox_sample3 [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q6_q6_textarea4] => Lorem ipsum dolor sit amet, consectetur adipiscing elit. 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[unread] => [parent] => [ip] => 70.48.205.171 ) -------------------------------------- --- New Lead Received: 2026-07-30 22:18:21 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-07-31 03:20:43 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-07-31 13:39:10 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785447740812=>init-started:1785505011370=>validator-called:1785505011379=>validator-mounted-false:1785505011379=>init-complete:1785505011381=>interval-complete:1785505032470=>onsubmit-fired:1785505138510=>observerSubmitHandler_received-submit-event:1785505138510=>submit-validation-passed:1785505138518=>observerSubmitHandler_validation-passed-submitting-form:1785505138524 [submitSource] => form [submitDate] => 1785505138525 [buildDate] => 1785447740812 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Sal [last] => Lee ) [q13_locationOf] => Yonge and Finch [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => ss100@rogers.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => Just need someone to meet at clinic for “pick up” after procedure on Tuesday August 18, 2026 ~ 3 pm. Accompany home is not necessary. 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[unread] => [parent] => [ip] => 172.226.162.70 ) -------------------------------------- --- New Lead Received: 2026-08-01 13:51:52 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785525449663=>init-started:1785592078720=>validator-called:1785592078731=>validator-mounted-false:1785592078731=>init-complete:1785592078733=>interval-complete:1785592099794=>onsubmit-fired:1785592311329=>observerSubmitHandler_received-submit-event:1785592311329=>submit-validation-passed:1785592311334=>observerSubmitHandler_validation-passed-submitting-form:1785592311340 [submitSource] => form [submitDate] => 1785592311340 [buildDate] => 1785525449663 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => J.t [last] => Chan ) [q13_locationOf] => Sheppard & Yonge [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => l5vwind@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => Just need someone to escort home (Mississauga) after cosmetic procedures (Yonge & Sheppard) Lower blepharoplasty & endoscopy mini lift. 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Thanks","event_id":"1785592078720_261185135750051_XqlmNxQ","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ch\",\"id_10\":\"By\",\"id_3\":\"l5\",\"id_8\":\"Sp\",\"id_6\":\"Ju\"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:J.t Chan, Location of Service:Sheppard & Yonge, How would you like us to contact you?:By Email, Email Address:l5vwind@gmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::Just need someone to escort home (Mississauga) after cosmetic procedures (Yonge & Sheppard) Lower blepharoplasty & endoscopy mini lift. Thanks [unread] => [parent] => [ip] => 99.244.214.169 ) -------------------------------------- --- New Lead Received: 2026-08-01 18:21:14 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785525449663=>init-started:1785608103979=>validator-called:1785608103989=>validator-mounted-false:1785608103990=>init-complete:1785608103992=>interval-complete:1785608124993=>onsubmit-fired:1785608473974=>observerSubmitHandler_received-submit-event:1785608473974=>submit-validation-passed:1785608473979=>observerSubmitHandler_validation-passed-submitting-form:1785608473986 [submitSource] => form [submitDate] => 1785608473986 [buildDate] => 1785525449663 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Camille [last] => Martin ) [q13_locationOf] => 123 Edward Street, Toronto, M5G 1E2 [q5_q5_textbox3] => The Rudd Clinic (Provis-Rudd Endoscopy Clinic) [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => rogueembryo@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I need an escort to drive me home after a colonoscopy. My appointment is at 9 am on Saturday, August 15. 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Home address: 121 Scadding Avenue, Toronto, M5A 4J2 [unread] => [parent] => [ip] => 99.231.52.42 ) -------------------------------------- --- New Lead Received: 2026-08-02 01:18:47 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-08-02 21:20:20 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785525449663=>init-started:1785705141960=>validator-called:1785705141971=>validator-mounted-false:1785705141971=>init-complete:1785705141973=>interval-complete:1785705164507=>onsubmit-fired:1785705619684=>observerSubmitHandler_received-submit-event:1785705619684=>submit-validation-passed:1785705619699=>observerSubmitHandler_validation-passed-submitting-form:1785705619707 [submitSource] => form [submitDate] => 1785705619707 [buildDate] => 1785525449663 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Hanan [last] => Tarhini ) [q13_locationOf] => - Surgical facility at 59 Hayden Street Unit 700 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => hinotarhini28@hotmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => Hi, I’m looking for transportation for my surgery on August 12. I live in Elora and need a ride to my surgery in Toronto and a ride back home afterward. I also need a nurse or medical escort to meet me at the clinic, help with my discharge, and escort me to the vehicle. Do you provide this service, and what would the cost be? Thank you. 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I live in Elora and need a ride to my surgery in Toronto and a ride back home afterward. I also need a nurse or medical escort to meet me at the clinic, help with my discharge, and escort me to the vehicle. Do you provide this service, and what would the cost be? Thank you.","event_id":"1785705141961_261185135750051_HP9tTiv","timeToSubmit":"21","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ta\",\"id_10\":\"By\",\"id_3\":\"hi\",\"id_8\":\"Sp\",\"id_6\":\"Hi\"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Hanan Tarhini, Location of Service:- Surgical facility at 59 Hayden Street Unit 700, How would you like us to contact you?:By Email, Email Address:hinotarhini28@hotmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::Hi, I’m looking for transportation for my surgery on August 12. I live in Elora and need a ride to my surgery in Toronto and a ride back home afterward. I also need a nurse or medical escort to meet me at the clinic, help with my discharge, and escort me to the vehicle. Do you provide this service, and what would the cost be? Thank you. [unread] => [parent] => [ip] => 141.193.149.111 ) -------------------------------------- --- New Lead Received: 2026-08-03 08:34:44 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785525449663=>init-started:1785745858751=>validator-called:1785745858760=>validator-mounted-false:1785745858760=>init-complete:1785745858762=>interval-complete:1785745879763=>onsubmit-fired:1785746083586=>observerSubmitHandler_received-submit-event:1785746083587=>submit-validation-passed:1785746083593=>observerSubmitHandler_validation-passed-submitting-form:1785746083599 [submitSource] => form [submitDate] => 1785746083599 [buildDate] => 1785525449663 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => linda [last] => Phillips ) [q13_locationOf] => Toronto Western [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => lphillips@rogers.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [other] => ) [q11_areYou] => Yourself [q6_q6_textarea4] => What would the approximate cost to pick me up from Toronto Western Hospital to Avenue/Wilson after having some surgery on my hand (not booked yet). Also is the vehicle just a regular vehicle without a bunch of writing on it-don't want the neighbors asking a bunch of questions. 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Also is the vehicle just a regular vehicle without a bunch of writing on it-don't want the neighbors asking a bunch of questions. Thanks","event_id":"1785745858751_261185135750051_s9QxGMs","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ph\",\"id_10\":\"By\",\"id_3\":\"lp\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"Wh\"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:linda Phillips, Location of Service:Toronto Western, How would you like us to contact you?:By Email, Email Address:lphillips@rogers.com, What service are you interested in?:Home Care Services, Are you requesting this service for::Yourself, Please briefly describe your situation and the care or services you may be looking::What would the approximate cost to pick me up from Toronto Western Hospital to Avenue/Wilson after having some surgery on my hand (not booked yet). Also is the vehicle just a regular vehicle without a bunch of writing on it-don't want the neighbors asking a bunch of questions. Thanks [unread] => [parent] => [ip] => 99.252.180.201 ) -------------------------------------- --- New Lead Received: 2026-08-03 15:56:25 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785525449663=>init-started:1785772450251=>validator-called:1785772450262=>validator-mounted-false:1785772450263=>init-complete:1785772450265=>interval-complete:1785772471267=>onsubmit-fired:1785772583965=>observerSubmitHandler_received-submit-event:1785772583966=>submit-validation-passed:1785772583970=>observerSubmitHandler_validation-passed-submitting-form:1785772583977 [submitSource] => form [submitDate] => 1785772583977 [buildDate] => 1785525449663 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Sukhpal [last] => Brar ) [q13_locationOf] => Nobleton [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => navbar@rogers.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Mobility assistance [1] => Medication reminders [2] => Wound care ) [q11_areYou] => Someone else [q6_q6_textarea4] => Mother is having a total knee joint replacement on August 31. Needs someone at home during the daytime to help with mobility, encourage physio and monitor wound care and recovery for 1-2 weeks. 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Needs someone at home during the daytime to help with mobility, encourage physio and monitor wound care and recovery for 1-2 weeks. ","event_id":"1785772450252_261185135750051_07FIY1X","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Br\",\"id_10\":\"By\",\"id_3\":\"na\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"Mo\"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:Sukhpal Brar, Location of Service:Nobleton, How would you like us to contact you?:By Email, Email Address:navbar@rogers.com, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Mobility assistance Medication reminders Wound care, Are you requesting this service for::Someone else, Please briefly describe your situation and the care or services you may be looking::Mother is having a total knee joint replacement on August 31. Needs someone at home during the daytime to help with mobility, encourage physio and monitor wound care and recovery for 1-2 weeks. [unread] => [parent] => [ip] => 99.249.44.53 ) -------------------------------------- --- New Lead Received: 2026-08-04 15:23:59 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1785512068370=>init-started:1785856704022=>validator-called:1785856704041=>validator-mounted-false:1785856704041=>init-complete:1785856704046=>interval-complete:1785856725333=>onsubmit-fired:1785857036863=>observerSubmitHandler_received-submit-event:1785857036863=>submit-validation-passed:1785857036874=>observerSubmitHandler_validation-passed-submitting-form:1785857036882 [submitSource] => form [submitDate] => 1785857036882 [buildDate] => 1785512068370 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Lemlem [last] => Iehdego ) [q13_locationOf] => 688 coxwell ave [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Phone ) [q3_q3_email1] => [q4_q4_phone2] => Array ( [full] => (647) 854-1979 ) [q8_whatService] => Medical Appointment Escorts [q19_nameOf] => [q21_whatType21] => Array ( [other] => Endoscopy ) [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => I need someone to take me home after my endoscopy appointment, which is on August 8, 2026 Saturday From coxwell ave to 491 shaw st My appointment is 1:00 pm [event_id] => 1785856704023_261674921986270_nW499Ci [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Ie","id_10":"By","id_4":"(6","id_8":"Sp","id_6":"I "} [visitedPages] => {"1":true,"2":true,"3":true,"4":true} [path] => /submit/261674921986270 [q11_areYou] => [q14_whatAssistance] => [q18_whenDo] => [q20_whatType20] => [q22_whatType] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261674921986270 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Immediate Care Service Request [customTitle] => [submissionID] => 6616662375615236028 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261674921986270","jsExecutionTracker":"build-date-1785512068370=>init-started:1785856704022=>validator-called:1785856704041=>validator-mounted-false:1785856704041=>init-complete:1785856704046=>interval-complete:1785856725333=>onsubmit-fired:1785857036863=>observerSubmitHandler_received-submit-event:1785857036863=>submit-validation-passed:1785857036874=>observerSubmitHandler_validation-passed-submitting-form:1785857036882","submitSource":"form","submitDate":"1785857036882","buildDate":"1785512068370","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Lemlem","last":"Iehdego"},"q13_locationOf":"688 coxwell ave","q5_q5_textbox3":"","q10_howWould":["By Phone"],"q3_q3_email1":"","q4_q4_phone2":{"full":"(647) 854-1979"},"q8_whatService":"Medical Appointment Escorts","q19_nameOf":"","q21_whatType21":{"other":"Endoscopy "},"q23_howLong":["One-Time"],"q6_q6_textarea4":"I need someone to take me home after my endoscopy appointment, which is on August 8, 2026 Saturday \r\nFrom coxwell ave to 491 shaw st\r\nMy appointment is 1:00 pm","event_id":"1785856704023_261674921986270_nW499Ci","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ie\",\"id_10\":\"By\",\"id_4\":\"(6\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q11_areYou":"","q14_whatAssistance":"","q18_whenDo":"","q20_whatType20":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:Lemlem Iehdego, Location of Service:688 coxwell ave, How would you like us to contact you?:By Phone, Phone Number:(647) 854-1979, What service are do you requesting?:Medical Appointment Escorts, What type of Medical Escort you are requiring?:Endoscopy , How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:I need someone to take me home after my endoscopy appointment, which is on August 8, 2026 Saturday From coxwell ave to 491 shaw st My appointment is 1:00 pm [unread] => [parent] => [ip] => 67.208.31.165 ) -------------------------------------- --- New Lead Received: 2026-08-04 20:40:52 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => 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[q18_whenDo] => Array ( [other] => August 25th. 10:15am ) [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => I am scheduled to undergo wisdom teeth surgery under general anesthesia around 9:15am on August 25th and will require a post-operative escort. The duration of the operation should take around 1.5 hrs. I would like assistance with the following: 1. Escort me from the clinic to my home using an Uber or taxi. 2. In terms of picking up my pain medication after the procedure, I spoke with the clinic and they said the nurse will pick it up for me before I get discharged. It shouldn't be an issue However let's assume things didn't work out as planned. Is it possible for the escort to accompany me to a pharmacy located approximately a 1-minute walk from the clinic so I can have my pain medication prescription filled before returning home? If there is a short wait while the prescription is being prepared, could you please let me know if the escort is able to remain with me during that time, or if there would be any additional waiting charges? Please let me know if this arrangement is possible and whether there are any additional fees for the pharmacy stop. Thank you. 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The duration of the operation should take around 1.5 hrs. \r\n\r\nI would like assistance with the following:\r\n\r\n1. Escort me from the clinic to my home using an Uber or taxi.\r\n\r\n\r\n2. In terms of picking up my pain medication after the procedure, I spoke with the clinic and they said the nurse will pick it up for me before I get discharged. It shouldn't be an issue \r\n\r\nHowever let's assume things didn't work out as planned. \r\n\r\nIs it possible for the escort to accompany me to a pharmacy located approximately a 1-minute walk from the clinic so I can have my pain medication prescription filled before returning home? If there is a short wait while the prescription is being prepared, could you please let me know if the escort is able to remain with me during that time, or if there would be any additional waiting charges?\r\n\r\n\r\n\r\nPlease let me know if this arrangement is possible and whether there are any additional fees for the pharmacy stop. Thank you.","event_id":"1785875129000_261674921986270_UEsaFty","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Le\",\"id_10\":\"By\",\"id_3\":\"pa\",\"id_4\":\"(6\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q11_areYou":"","q14_whatAssistance":"","q20_whatType20":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:Pak Weng (Steven) Lei, Location of Service:1881 Yonge St Unit 400, 4th Floor, Toronto, ON M4S 3C4, How would you like us to contact you?:By Email By Phone, Email Address:pakwenglei@gmail.com, Phone Number:(647) 836-8876, What service are do you requesting?:Medical Appointment Escorts, What type of Medical Escort you are requiring?:Post-Operative Procedure, When do you need service to start?:August 25th. 10:15am, How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:I am scheduled to undergo wisdom teeth surgery under general anesthesia around 9:15am on August 25th and will require a post-operative escort. The duration of the operation should take around 1.5 hrs. I would like assistance with the following: 1. Escort me from the clinic to my home using an Uber or taxi. 2. In terms of picking up my pain medication after the procedure, I spoke with the clinic and they said the nurse will pick it up for me before I get discharged. It shouldn't be an issue However let's assume things didn't work out as planned. Is it possible for the escort to accompany me to a pharmacy located approximately a 1-minute walk from the clinic so I can have my pain medication prescription filled before returning home? If there is a short wait while the prescription is being prepared, could you please let me know if the escort is able to remain with me during that time, or if there would be any additional waiting charges? Please let me know if this arrangement is possible and whether there are any additional fees for the pharmacy stop. Thank you. [unread] => [parent] => [ip] => 72.143.202.194 ) -------------------------------------- --- New Lead Received: 2026-08-05 01:32:37 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1785512068370=>init-started:1785892891444=>validator-called:1785892891454=>validator-mounted-false:1785892891454=>init-complete:1785892891457=>interval-complete:1785892912762=>onsubmit-fired:1785893553577=>observerSubmitHandler_received-submit-event:1785893553577=>submit-validation-passed:1785893553587=>observerSubmitHandler_validation-passed-submitting-form:1785893553593 [submitSource] => form [submitDate] => 1785893553593 [buildDate] => 1785512068370 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Mary [last] => Maloney ) [q13_locationOf] => 40 Prince Arthur Ave Toronto [q5_q5_textbox3] => Bochner Eye Institute [q10_howWould] => Array ( [0] => By Phone ) [q3_q3_email1] => [q4_q4_phone2] => Array ( [full] => (416) 518-3822 ) [q8_whatService] => Medical Appointment Escorts [q19_nameOf] => [q21_whatType21] => Array ( [0] => Post-Operative Procedure ) [q18_whenDo] => Tomorrow [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => Pick up and transportation home after cataract surgery. Home is 44A Maple Ave Toronto. I should be ready to be picked up tomorrow at 4:00 pm [event_id] => 1785892891444_261674921986270_FZltiBR [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Ma","id_10":"By","id_4":"(4","id_8":"Sp","id_6":"Pi"} [visitedPages] => {"1":true,"2":true,"3":true,"4":true} [path] => /submit/261674921986270 [q11_areYou] => [q14_whatAssistance] => [q20_whatType20] => [q22_whatType] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261674921986270 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Immediate Care Service Request [customTitle] => [submissionID] => 6617027564229233005 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261674921986270","jsExecutionTracker":"build-date-1785512068370=>init-started:1785892891444=>validator-called:1785892891454=>validator-mounted-false:1785892891454=>init-complete:1785892891457=>interval-complete:1785892912762=>onsubmit-fired:1785893553577=>observerSubmitHandler_received-submit-event:1785893553577=>submit-validation-passed:1785893553587=>observerSubmitHandler_validation-passed-submitting-form:1785893553593","submitSource":"form","submitDate":"1785893553593","buildDate":"1785512068370","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Mary ","last":"Maloney "},"q13_locationOf":"40 Prince Arthur Ave Toronto ","q5_q5_textbox3":"Bochner Eye Institute ","q10_howWould":["By Phone"],"q3_q3_email1":"","q4_q4_phone2":{"full":"(416) 518-3822"},"q8_whatService":"Medical Appointment Escorts","q19_nameOf":"","q21_whatType21":["Post-Operative Procedure"],"q18_whenDo":"Tomorrow","q23_howLong":["One-Time"],"q6_q6_textarea4":"Pick up and transportation home after cataract surgery. Home is 44A Maple Ave Toronto. I should be ready to be picked up tomorrow at 4:00 pm","event_id":"1785892891444_261674921986270_FZltiBR","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ma\",\"id_10\":\"By\",\"id_4\":\"(4\",\"id_8\":\"Sp\",\"id_6\":\"Pi\"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q11_areYou":"","q14_whatAssistance":"","q20_whatType20":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:Mary Maloney , Location of Service:40 Prince Arthur Ave Toronto , Company or Organization:Bochner Eye Institute , How would you like us to contact you?:By Phone, Phone Number:(416) 518-3822, What service are do you requesting?:Medical Appointment Escorts, What type of Medical Escort you are requiring?:Post-Operative Procedure, When do you need service to start?:Tomorrow, How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:Pick up and transportation home after cataract surgery. Home is 44A Maple Ave Toronto. I should be ready to be picked up tomorrow at 4:00 pm [unread] => [parent] => [ip] => 172.226.162.24 ) -------------------------------------- --- New Lead Received: 2026-08-06 10:26:51 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1785512068370=>init-started:1786011842935=>validator-called:1786011842969=>validator-mounted-false:1786011842970=>init-complete:1786011842978=>interval-complete:1786011866171=>onsubmit-fired:1786012009506=>observerSubmitHandler_received-submit-event:1786012009508=>submit-validation-passed:1786012009536=>observerSubmitHandler_validation-passed-submitting-form:1786012009558 [submitSource] => form [submitDate] => 1786012009558 [buildDate] => 1785512068370 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Emely [last] => Alfaro ) [q13_locationOf] => 40 James Street South, Hamilton [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => ecalfaro2015@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Appointment Escorts [q19_nameOf] => [q21_whatType21] => Array ( [0] => Post-Operative Procedure ) [q18_whenDo] => Array ( [other] => Procedure is at 6am on August 17, 2026 ) [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => I am having both a colonoscopy and endoscopy done and I need someone to pick me up and take me home after the procedures on August 17th, 2026. [event_id] => 1786011842936_261674921986270_JyMMXHY [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Al","id_10":"By","id_3":"ec","id_8":"Sp","id_6":"I "} [visitedPages] => {"1":true,"2":true,"3":true,"4":true} [path] => /submit/261674921986270 [q11_areYou] => [q14_whatAssistance] => [q20_whatType20] => [q22_whatType] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261674921986270 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Immediate Care Service Request [customTitle] => [submissionID] => 6618212104227262814 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261674921986270","jsExecutionTracker":"build-date-1785512068370=>init-started:1786011842935=>validator-called:1786011842969=>validator-mounted-false:1786011842970=>init-complete:1786011842978=>interval-complete:1786011866171=>onsubmit-fired:1786012009506=>observerSubmitHandler_received-submit-event:1786012009508=>submit-validation-passed:1786012009536=>observerSubmitHandler_validation-passed-submitting-form:1786012009558","submitSource":"form","submitDate":"1786012009558","buildDate":"1785512068370","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Emely ","last":"Alfaro"},"q13_locationOf":"40 James Street South, Hamilton","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"ecalfaro2015@gmail.com","q4_q4_phone2":{"full":""},"q8_whatService":"Medical Appointment Escorts","q19_nameOf":"","q21_whatType21":["Post-Operative Procedure"],"q18_whenDo":{"other":"Procedure is at 6am on August 17, 2026"},"q23_howLong":["One-Time"],"q6_q6_textarea4":"I am having both a colonoscopy and endoscopy done and I need someone to pick me up and take me home after the procedures on August 17th, 2026.","event_id":"1786011842936_261674921986270_JyMMXHY","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Al\",\"id_10\":\"By\",\"id_3\":\"ec\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q11_areYou":"","q14_whatAssistance":"","q20_whatType20":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:Emely Alfaro, Location of Service:40 James Street South, Hamilton, How would you like us to contact you?:By Email, Email Address:ecalfaro2015@gmail.com, What service are do you requesting?:Medical Appointment Escorts, What type of Medical Escort you are requiring?:Post-Operative Procedure, When do you need service to start?:Procedure is at 6am on August 17, 2026, How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:I am having both a colonoscopy and endoscopy done and I need someone to pick me up and take me home after the procedures on August 17th, 2026. [unread] => [parent] => [ip] => 99.236.56.224 ) -------------------------------------- --- New Lead Received: 2026-08-06 10:27:17 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785525449663=>init-started:1786011802388=>validator-called:1786011802398=>validator-mounted-false:1786011802398=>init-complete:1786011802401=>interval-complete:1786011823402=>onsubmit-fired:1786012034726=>observerSubmitHandler_received-submit-event:1786012034726=>submit-validation-passed:1786012034731=>observerSubmitHandler_validation-passed-submitting-form:1786012034738 [submitSource] => form [submitDate] => 1786012034738 [buildDate] => 1785525449663 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Geoff [last] => Versteeg ) [q13_locationOf] => Don Mills & Eglinton [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => geoffversteeg@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Companionship / supervision [1] => Bathing / hygiene [2] => Toileting / incontinence care [3] => Dressing / grooming [4] => Mobility assistance [5] => Medication reminders [other] => ) [q11_areYou] => Someone else [q6_q6_textarea4] => Hello, I am reaching out on behalf of my parents.  Mom is 82, scheduled to be discharged by Toronto Rehab on August 31st.  She suffered serious (life-threatening) head injuries when she was struck by a cyclist in May.  Her recovery has been slow and (mostly) steady since.  Physically, she is making very good progress - hopefully about to be designated as one-person assist, starting to show ability to move and live with less support.  Cognitively, it's more mixed.  Still has days where she's confused, vision and hearing have been badly impacted and she needs near-constant attention.   When Mom is discharged, Mom and Dad (he's almost 86) will move to a retirement home, presumably with some support from Ontario Health at Home, supported by care team at the retirement home.  We want to find a private agency to help top that up so Mom has support she needs and Dad is able to get some breaks.  We don't yet know what specific support will be provided by Health at Home or the retirement home, but we are keen to engage a care agency now so we can start planning. I am based in the UK, my brother and sister are both in Toronto supporting Mom & Dad through recovery.  Email is easiest, but I'm happy to have a phone call.  I am particularly interested in the questions outlined below. Thank you. Geoff Versteeg Care scope and single-source capability - Can you provide the full range from one team — personal care (bathing, dressing, toileting), mobility/transfer assistance, medication support, companionship, and physiotherapy — or would any of these need a separate provider? -Do you have physiotherapists experienced in neuro rehab / acquired brain injury, and can they continue a discharge program set by an inpatient rehab hospital? Caregiver continuity and selection -Can we select the specific caregiver(s) for my Mom, and are they consistent so she can build a relationship, rather than rotating staff? -What happens when her regular caregiver is sick or unavailable — how is coverage guaranteed? Working inside a retirement residence -Are you able to work inside a retirement residence (specifically Verve Don Mills, then V!VA Leaside), and are you approved/insured to do so? -How do your services coordinate with the residence's own care package and with any Ontario Health atHome hours? Assessment and setup -What does your assessment process involve, when could it take place, and how quickly can care start once a plan is agreed? -Can you build your plan from the residence's care assessment and my Mom's hospital discharge summary, so it targets the gap rather than duplicating included care? Rates and terms -What are your hourly rates for PSW and for nursing, including any overnight and weekend premiums? -What is your minimum visit length, and do you offer reduced rates for high committed hours?What are your contract terms — notice period, any minimum commitment, and how billing works? References -Can you provide two or three references we could speak to, ideally families whose relative had a similar profile to my Mom (post-brain-injury or post-stroke, moving into a retirement residence)? [event_id] => 1786011802388_261185135750051_sxiaqVN [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Ve","id_10":"By","id_3":"ge","id_8":"Sp","id_11":"So","id_6":"He"} [path] => /submit/261185135750051 ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6618212368418620636 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1785525449663=>init-started:1786011802388=>validator-called:1786011802398=>validator-mounted-false:1786011802398=>init-complete:1786011802401=>interval-complete:1786011823402=>onsubmit-fired:1786012034726=>observerSubmitHandler_received-submit-event:1786012034726=>submit-validation-passed:1786012034731=>observerSubmitHandler_validation-passed-submitting-form:1786012034738","submitSource":"form","submitDate":"1786012034738","buildDate":"1785525449663","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Geoff","last":"Versteeg"},"q13_locationOf":"Don Mills & Eglinton","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"geoffversteeg@gmail.com","q4_q4_phone2":{"full":""},"q8_whatService":"Home Care Services","q14_whatAssistance":{"0":"Companionship \/ supervision","1":"Bathing \/ hygiene","2":"Toileting \/ incontinence care","3":"Dressing \/ grooming","4":"Mobility assistance","5":"Medication reminders","other":""},"q11_areYou":"Someone else","q6_q6_textarea4":"Hello,\r\n\r\nI am reaching out on behalf of my parents.\u00a0\u00a0Mom is 82, scheduled to be discharged by Toronto Rehab on August 31st. \u00a0She suffered serious (life-threatening) head injuries when she was struck by a cyclist in May. \u00a0Her recovery has been slow and (mostly) steady since. \u00a0Physically, she is making very good progress - hopefully about to be designated as one-person assist, starting to show ability to move and live with less support. \u00a0Cognitively, it's more mixed. \u00a0Still has days where she's confused, vision and hearing have been badly impacted and she needs near-constant attention. \u00a0\r\n\r\nWhen Mom is discharged, Mom and Dad (he's almost 86) will move to a retirement home, presumably with some support from Ontario Health at Home, supported by care team at the retirement home. \u00a0We want to find a private agency to help top that up so Mom has support she needs and Dad is able to get some breaks.\u00a0 We don't yet know what specific support will be provided by Health at Home or the retirement home, but we are keen to engage a care agency now so we can start planning.\r\n\r\nI am based in the UK, my brother and sister are both in Toronto supporting Mom & Dad through recovery.\u00a0 Email is easiest, but I'm happy to have a phone call.\u00a0 I am particularly interested in the questions outlined below.\r\n\r\nThank you.\r\nGeoff Versteeg\r\n\r\nCare scope and single-source capability\r\n- Can you provide the full range from one team \u2014 personal care (bathing, dressing, toileting), mobility\/transfer assistance, medication support, companionship, and physiotherapy \u2014 or would any of these need a separate provider?\r\n-Do you have physiotherapists experienced in neuro rehab \/ acquired brain injury, and can they continue a discharge program set by an inpatient rehab hospital?\r\n\r\nCaregiver continuity and selection\r\n-Can we select the specific caregiver(s) for my Mom, and are they consistent so she can build a relationship, rather than rotating staff?\r\n-What happens when her regular caregiver is sick or unavailable \u2014 how is coverage guaranteed?\r\n\r\nWorking inside a retirement residence\r\n-Are you able to work inside a retirement residence (specifically Verve Don Mills, then V!VA Leaside), and are you approved\/insured to do so?\r\n-How do your services coordinate with the residence's own care package and with any Ontario Health atHome hours?\r\n\r\nAssessment and setup\r\n-What does your assessment process involve, when could it take place, and how quickly can care start once a plan is agreed?\r\n-Can you build your plan from the residence's care assessment and my Mom's hospital discharge summary, so it targets the gap rather than duplicating included care?\r\n\r\nRates and terms\r\n-What are your hourly rates for PSW and for nursing, including any overnight and weekend premiums?\r\n-What is your minimum visit length, and do you offer reduced rates for high committed hours?What are your contract terms \u2014 notice period, any minimum commitment, and how billing works?\r\n\r\nReferences\r\n-Can you provide two or three references we could speak to, ideally families whose relative had a similar profile to my Mom (post-brain-injury or post-stroke, moving into a retirement residence)?","event_id":"1786011802388_261185135750051_sxiaqVN","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ve\",\"id_10\":\"By\",\"id_3\":\"ge\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"He\"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:Geoff Versteeg, Location of Service:Don Mills & Eglinton, How would you like us to contact you?:By Email, Email Address:geoffversteeg@gmail.com, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Companionship / supervision Bathing / hygiene Toileting / incontinence care Dressing / grooming Mobility assistance Medication reminders , Are you requesting this service for::Someone else, Please briefly describe your situation and the care or services you may be looking::Hello, I am reaching out on behalf of my parents.  Mom is 82, scheduled to be discharged by Toronto Rehab on August 31st.  She suffered serious (life-threatening) head injuries when she was struck by a cyclist in May.  Her recovery has been slow and (mostly) steady since.  Physically, she is making very good progress - hopefully about to be designated as one-person assist, starting to show ability to move and live with less support.  Cognitively, it's more mixed.  Still has days where she's confused, vision and hearing have been badly impacted and she needs near-constant attention.   When Mom is discharged, Mom and Dad (he's almost 86) will move to a retirement home, presumably with some support from Ontario Health at Home, supported by care team at the retirement home.  We want to find a private agency to help top that up so Mom has support she needs and Dad is able to get some breaks.  We don't yet know what specific support will be provided by Health at Home or the retirement home, but we are keen to engage a care agency now so we can start planning. I am based in the UK, my brother and sister are both in Toronto supporting Mom & Dad through recovery.  Email is easiest, but I'm happy to have a phone call.  I am particularly interested in the questions outlined below. Thank you. Geoff Versteeg Care scope and single-source capability - Can you provide the full range from one team — personal care (bathing, dressing, toileting), mobility/transfer assistance, medication support, companionship, and physiotherapy — or would any of these need a separate provider? -Do you have physiotherapists experienced in neuro rehab / acquired brain injury, and can they continue a discharge program set by an inpatient rehab hospital? Caregiver continuity and selection -Can we select the specific caregiver(s) for my Mom, and are they consistent so she can build a relationship, rather than rotating staff? -What happens when her regular caregiver is sick or unavailable — how is coverage guaranteed? Working inside a retirement residence -Are you able to work inside a retirement residence (specifically Verve Don Mills, then V!VA Leaside), and are you approved/insured to do so? -How do your services coordinate with the residence's own care package and with any Ontario Health atHome hours? Assessment and setup -What does your assessment process involve, when could it take place, and how quickly can care start once a plan is agreed? -Can you build your plan from the residence's care assessment and my Mom's hospital discharge summary, so it targets the gap rather than duplicating included care? Rates and terms -What are your hourly rates for PSW and for nursing, including any overnight and weekend premiums? -What is your minimum visit length, and do you offer reduced rates for high committed hours?What are your contract terms — notice period, any minimum commitment, and how billing works? References -Can you provide two or three references we could speak to, ideally families whose relative had a similar profile to my Mom (post-brain-injury or post-stroke, moving into a retirement residence)? [unread] => [parent] => [ip] => 104.30.135.148 ) -------------------------------------- --- New Lead Received: 2026-08-06 11:31:07 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785525449663=>init-started:1786015787325=>validator-called:1786015787341=>validator-mounted-false:1786015787341=>init-complete:1786015787344=>interval-complete:1786015808663=>onsubmit-fired:1786015866139=>observerSubmitHandler_received-submit-event:1786015866140=>submit-validation-passed:1786015866150=>observerSubmitHandler_validation-passed-submitting-form:1786015866155 [submitSource] => form [submitDate] => 1786015866155 [buildDate] => 1785525449663 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Jack [last] => Lamon ) [q13_locationOf] => Yonge/St Clair, Toronto [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email [1] => By Phone ) [q3_q3_email1] => jack.lamon@icloud.com [q4_q4_phone2] => Array ( [full] => (437) 997-5286 ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Bathing / hygiene [1] => Toileting / incontinence care [2] => Dressing / grooming [3] => Transfers [4] => Repositioning [5] => Fall-risk monitoring ) [q11_areYou] => Someone else [q6_q6_textarea4] => Hi folks - We're looking for part-time PSW assistance on weekends for my father. He has a Parkinsonism condition (loss of mobility/motility, memory issues, etc) and needs assistance with toileting, showering, etc especially in the morning. We have a lift, but do need someone fairly strong to help move and position him. We're located near Yonge/St Clair. Please do send along information about your services, rates, and process. Many thanks, Jack [event_id] => 1786015787325_261185135750051_7pIt2fB [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"La","id_10":"By","id_3":"ja","id_4":"(4","id_8":"Sp","id_11":"So","id_6":"Hi"} [path] => /submit/261185135750051 ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6618250665121299914 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1785525449663=>init-started:1786015787325=>validator-called:1786015787341=>validator-mounted-false:1786015787341=>init-complete:1786015787344=>interval-complete:1786015808663=>onsubmit-fired:1786015866139=>observerSubmitHandler_received-submit-event:1786015866140=>submit-validation-passed:1786015866150=>observerSubmitHandler_validation-passed-submitting-form:1786015866155","submitSource":"form","submitDate":"1786015866155","buildDate":"1785525449663","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Jack","last":"Lamon"},"q13_locationOf":"Yonge\/St Clair, Toronto","q5_q5_textbox3":"","q10_howWould":["By Email","By Phone"],"q3_q3_email1":"jack.lamon@icloud.com","q4_q4_phone2":{"full":"(437) 997-5286"},"q8_whatService":"Home Care Services","q14_whatAssistance":["Bathing \/ hygiene","Toileting \/ incontinence care","Dressing \/ grooming","Transfers","Repositioning","Fall-risk monitoring"],"q11_areYou":"Someone else","q6_q6_textarea4":"Hi folks -\r\n\r\nWe're looking for part-time PSW assistance on weekends for my father. He has a Parkinsonism condition (loss of mobility\/motility, memory issues, etc) and needs assistance with toileting, showering, etc especially in the morning. We have a lift, but do need someone fairly strong to help move and position him.\r\n\r\nWe're located near Yonge\/St Clair. \r\n\r\nPlease do send along information about your services, rates, and process. \r\n\r\nMany thanks,\r\nJack","event_id":"1786015787325_261185135750051_7pIt2fB","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"La\",\"id_10\":\"By\",\"id_3\":\"ja\",\"id_4\":\"(4\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"Hi\"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:Jack Lamon, Location of Service:Yonge/St Clair, Toronto, How would you like us to contact you?:By Email By Phone, Email Address:jack.lamon@icloud.com, Phone Number:(437) 997-5286, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Bathing / hygiene Toileting / incontinence care Dressing / grooming Transfers Repositioning Fall-risk monitoring, Are you requesting this service for::Someone else, Please briefly describe your situation and the care or services you may be looking::Hi folks - We're looking for part-time PSW assistance on weekends for my father. He has a Parkinsonism condition (loss of mobility/motility, memory issues, etc) and needs assistance with toileting, showering, etc especially in the morning. We have a lift, but do need someone fairly strong to help move and position him. We're located near Yonge/St Clair. Please do send along information about your services, rates, and process. Many thanks, Jack [unread] => [parent] => [ip] => 65.94.212.15 ) -------------------------------------- --- New Lead Received: 2026-08-06 18:11:39 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785525449663=>init-started:1786038746580=>validator-called:1786038746585=>validator-mounted-false:1786038746585=>init-complete:1786038746587=>interval-complete:1786038767345=>onsubmit-fired:1786039896806=>observerSubmitHandler_received-submit-event:1786039896806=>submit-validation-passed:1786039896810=>observerSubmitHandler_validation-passed-submitting-form:1786039896815 [submitSource] => form [submitDate] => 1786039896815 [buildDate] => 1785525449663 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => David [last] => Ordonez ) [q13_locationOf] => 1131A Leslie St #300, North York, ON M3C 3L8 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => david.antonio514@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Companionship / supervision ) [q11_areYou] => Yourself [q6_q6_textarea4] => I am receiving facial cosmetic surgery at the aforementioned address (Clinc360) and am required to have supervision for 24hrs following the procedure. I would also like a medical escort from the clinic (following the surgery) to my nearby hotel room where I will be staying (I don't live in Toronto). [event_id] => 1786038746580_261185135750051_FOItMdL [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Or","id_10":"By","id_3":"da","id_8":"Sp","id_11":"So","id_6":"I "} [path] => /submit/261185135750051 ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6618490981014691493 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1785525449663=>init-started:1786038746580=>validator-called:1786038746585=>validator-mounted-false:1786038746585=>init-complete:1786038746587=>interval-complete:1786038767345=>onsubmit-fired:1786039896806=>observerSubmitHandler_received-submit-event:1786039896806=>submit-validation-passed:1786039896810=>observerSubmitHandler_validation-passed-submitting-form:1786039896815","submitSource":"form","submitDate":"1786039896815","buildDate":"1785525449663","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"David","last":"Ordonez"},"q13_locationOf":"1131A Leslie St #300, North York, ON M3C 3L8","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"david.antonio514@gmail.com","q4_q4_phone2":{"full":""},"q8_whatService":"Home Care Services","q14_whatAssistance":["Companionship \/ supervision"],"q11_areYou":"Yourself","q6_q6_textarea4":"I am receiving facial cosmetic surgery at the aforementioned address (Clinc360) and am required to have supervision for 24hrs following the procedure. I would also like a medical escort from the clinic (following the surgery) to my nearby hotel room where I will be staying (I don't live in Toronto).","event_id":"1786038746580_261185135750051_FOItMdL","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Or\",\"id_10\":\"By\",\"id_3\":\"da\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:David Ordonez, Location of Service:1131A Leslie St #300, North York, ON M3C 3L8, How would you like us to contact you?:By Email, Email Address:david.antonio514@gmail.com, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Companionship / supervision, Are you requesting this service for::Yourself, Please briefly describe your situation and the care or services you may be looking::I am receiving facial cosmetic surgery at the aforementioned address (Clinc360) and am required to have supervision for 24hrs following the procedure. I would also like a medical escort from the clinic (following the surgery) to my nearby hotel room where I will be staying (I don't live in Toronto). [unread] => [parent] => [ip] => 38.133.36.101 ) -------------------------------------- --- New Lead Received: 2026-08-06 19:36:03 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785525449663=>init-started:1786044752522=>validator-called:1786044752555=>validator-mounted-false:1786044752557=>init-complete:1786044752576=>interval-complete:1786044773579=>onsubmit-fired:1786044962485=>observerSubmitHandler_received-submit-event:1786044962486=>submit-validation-passed:1786044962499=>observerSubmitHandler_validation-passed-submitting-form:1786044962520 [submitSource] => form [submitDate] => 1786044962520 [buildDate] => 1785525449663 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Susan [last] => Haydu ) [q13_locationOf] => 155 Marlee Avenue [q5_q5_textbox3] => N/A [q10_howWould] => Array ( [0] => By Phone ) [q3_q3_email1] => [q4_q4_phone2] => Array ( [full] => (647) 278-6124 ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I am looking for a medical escort for my grandmother. She is 97 and legally blind and needs support. Her doctor's appointment is next week on Thursday August 13th at 2:30pm. She is looking for someone to come to her apartment by 2:00pm (155 Marlee Avenue) and then call/arrange an Uber or taxi to go to the appointment (491 Lawrence West) and back home. [event_id] => 1786044752523_261185135750051_18fub5X [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Ha","id_10":"By","id_4":"(6","id_8":"Sp","id_6":"I "} [path] => /submit/261185135750051 [q11_areYou] => [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6618541635168226809 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1785525449663=>init-started:1786044752522=>validator-called:1786044752555=>validator-mounted-false:1786044752557=>init-complete:1786044752576=>interval-complete:1786044773579=>onsubmit-fired:1786044962485=>observerSubmitHandler_received-submit-event:1786044962486=>submit-validation-passed:1786044962499=>observerSubmitHandler_validation-passed-submitting-form:1786044962520","submitSource":"form","submitDate":"1786044962520","buildDate":"1785525449663","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Susan","last":"Haydu "},"q13_locationOf":"155 Marlee Avenue ","q5_q5_textbox3":"N\/A","q10_howWould":["By Phone"],"q3_q3_email1":"","q4_q4_phone2":{"full":"(647) 278-6124"},"q8_whatService":"Medical Escorts","q6_q6_textarea4":"I am looking for a medical escort for my grandmother. She is 97 and legally blind and needs support. Her doctor's appointment is next week on Thursday August 13th at 2:30pm.\r\n\r\nShe is looking for someone to come to her apartment by 2:00pm (155 Marlee Avenue) and then call\/arrange an Uber or taxi to go to the appointment (491 Lawrence West) and back home.","event_id":"1786044752523_261185135750051_18fub5X","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ha\",\"id_10\":\"By\",\"id_4\":\"(6\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Susan Haydu , Location of Service:155 Marlee Avenue , Company or Organization:N/A, How would you like us to contact you?:By Phone, Phone Number:(647) 278-6124, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I am looking for a medical escort for my grandmother. She is 97 and legally blind and needs support. Her doctor's appointment is next week on Thursday August 13th at 2:30pm. She is looking for someone to come to her apartment by 2:00pm (155 Marlee Avenue) and then call/arrange an Uber or taxi to go to the appointment (491 Lawrence West) and back home. [unread] => [parent] => [ip] => 209.29.96.15 ) -------------------------------------- --- New Lead Received: 2026-08-06 20:51:04 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1785525449663=>init-started:1786049312568=>validator-called:1786049312791=>validator-mounted-false:1786049312798=>init-complete:1786049312874=>interval-complete:1786049333865=>onsubmit-fired:1786049462240=>observerSubmitHandler_received-submit-event:1786049462245=>submit-validation-passed:1786049462416=>observerSubmitHandler_validation-passed-submitting-form:1786049462571 [submitSource] => form [submitDate] => 1786049462572 [buildDate] => 1785525449663 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Daniel [last] => Klein ) [q13_locationOf] => [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => aryeh75@aol.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => Being accompanied home after a colonoscopy. [event_id] => 1786049312572_261185135750051_LPHMBUY [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Kl","id_10":"By","id_3":"ar","id_8":"Sp","id_6":"Be"} [path] => /submit/261185135750051 [q11_areYou] => [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6618586632113191672 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1785525449663=>init-started:1786049312568=>validator-called:1786049312791=>validator-mounted-false:1786049312798=>init-complete:1786049312874=>interval-complete:1786049333865=>onsubmit-fired:1786049462240=>observerSubmitHandler_received-submit-event:1786049462245=>submit-validation-passed:1786049462416=>observerSubmitHandler_validation-passed-submitting-form:1786049462571","submitSource":"form","submitDate":"1786049462572","buildDate":"1785525449663","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Daniel","last":"Klein"},"q13_locationOf":"","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"aryeh75@aol.com","q4_q4_phone2":{"full":""},"q8_whatService":"Medical Escorts","q6_q6_textarea4":"Being accompanied home after a colonoscopy.","event_id":"1786049312572_261185135750051_LPHMBUY","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Kl\",\"id_10\":\"By\",\"id_3\":\"ar\",\"id_8\":\"Sp\",\"id_6\":\"Be\"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Daniel Klein, How would you like us to contact you?:By Email, Email Address:aryeh75@aol.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::Being accompanied home after a colonoscopy. [unread] => [parent] => [ip] => 76.68.225.112 ) -------------------------------------- --- New Lead Received: 2026-08-07 19:19:44 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1786055512772=>init-started:1786130291736=>validator-called:1786130291743=>validator-mounted-false:1786130291744=>init-complete:1786130291745=>interval-complete:1786130314669=>onsubmit-fired:1786130368463=>observerSubmitHandler_received-submit-event:1786130368464=>onsubmit-fired:1786130381950=>observerSubmitHandler_received-submit-event:1786130381950=>submit-validation-passed:1786130381959=>observerSubmitHandler_validation-passed-submitting-form:1786130381969 [submitSource] => form [submitDate] => 1786130381969 [buildDate] => 1786055512772 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Joanne [last] => Huff ) [q13_locationOf] => 107E 14310 111 Ave NW Edmonton, Alberta [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => joannehuff997@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => Needing a reliable adult to drive me home after wisdom teeth removal [event_id] => 1786130291736_261185135750051_FnzZvbo [timeToSubmit] => 21 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Hu","id_10":"By","id_3":"jo","id_8":"Sp","id_6":"Ne"} [path] => /submit/261185135750051 [q11_areYou] => [q14_whatAssistance] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6619395820807004296 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1786055512772=>init-started:1786130291736=>validator-called:1786130291743=>validator-mounted-false:1786130291744=>init-complete:1786130291745=>interval-complete:1786130314669=>onsubmit-fired:1786130368463=>observerSubmitHandler_received-submit-event:1786130368464=>onsubmit-fired:1786130381950=>observerSubmitHandler_received-submit-event:1786130381950=>submit-validation-passed:1786130381959=>observerSubmitHandler_validation-passed-submitting-form:1786130381969","submitSource":"form","submitDate":"1786130381969","buildDate":"1786055512772","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Joanne","last":"Huff"},"q13_locationOf":"107E 14310 111 Ave NW Edmonton, Alberta ","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"joannehuff997@gmail.com","q4_q4_phone2":{"full":""},"q8_whatService":"Medical Escorts","q6_q6_textarea4":"Needing a reliable adult to drive me home after wisdom teeth removal ","event_id":"1786130291736_261185135750051_FnzZvbo","timeToSubmit":"21","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Hu\",\"id_10\":\"By\",\"id_3\":\"jo\",\"id_8\":\"Sp\",\"id_6\":\"Ne\"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Joanne Huff, Location of Service:107E 14310 111 Ave NW Edmonton, Alberta , How would you like us to contact you?:By Email, Email Address:joannehuff997@gmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::Needing a reliable adult to drive me home after wisdom teeth removal [unread] => [parent] => [ip] => 50.65.190.80 ) -------------------------------------- --- New Lead Received: 2026-08-08 16:11:10 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => 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at Cortellucci hospital we are looking for PSW to go 1-2 x per week for hygiene showers and ensuring he is taking care of for hygiene. 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In addition we are requesting 3-4 / for 4 hours X per week for companionship social interaction [unread] => [parent] => [ip] => 99.235.167.111 ) -------------------------------------- --- New Lead Received: 2026-08-08 18:55:11 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1786055512772=>init-started:1786215167617=>validator-called:1786215167631=>validator-mounted-false:1786215167631=>init-complete:1786215167634=>interval-complete:1786215188640=>onsubmit-fired:1786215310766=>observerSubmitHandler_received-submit-event:1786215310766=>submit-validation-passed:1786215310772=>observerSubmitHandler_validation-passed-submitting-form:1786215310780 [submitSource] => form [submitDate] => 1786215310780 [buildDate] => 1786055512772 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => perry [last] => rush ) [q13_locationOf] => humber hospital [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => pjrush@sympatico.ca [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Hospital Private Duty Care [q14_whatAssistance] => Array ( [0] => Meal assistance / feeding ) [q6_q6_textarea4] => 94 year old father now in Humber hospital for pneumonia; request extra care while he is admitted, especially for meals [event_id] => 1786215167618_261185135750051_PfhVsI9 [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"ru","id_10":"By","id_3":"pj","id_8":"Sp","id_6":"94"} [path] => /submit/261185135750051 [q11_areYou] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6620245100525586395 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1786055512772=>init-started:1786215167617=>validator-called:1786215167631=>validator-mounted-false:1786215167631=>init-complete:1786215167634=>interval-complete:1786215188640=>onsubmit-fired:1786215310766=>observerSubmitHandler_received-submit-event:1786215310766=>submit-validation-passed:1786215310772=>observerSubmitHandler_validation-passed-submitting-form:1786215310780","submitSource":"form","submitDate":"1786215310780","buildDate":"1786055512772","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"perry","last":"rush"},"q13_locationOf":"humber hospital","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"pjrush@sympatico.ca","q4_q4_phone2":{"full":""},"q8_whatService":"Hospital Private Duty Care","q14_whatAssistance":["Meal assistance \/ feeding"],"q6_q6_textarea4":"94 year old father now in Humber hospital for pneumonia; request extra care while he is admitted, especially for meals","event_id":"1786215167618_261185135750051_PfhVsI9","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"ru\",\"id_10\":\"By\",\"id_3\":\"pj\",\"id_8\":\"Sp\",\"id_6\":\"94\"}","path":"\/submit\/261185135750051","q11_areYou":""} [fromTable] => [appID] => [pretty] => Full Name:perry rush, Location of Service:humber hospital, How would you like us to contact you?:By Email, Email Address:pjrush@sympatico.ca, What service are you interested in?:Hospital Private Duty Care, What assistance is required? 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Thank you [unread] => [parent] => [ip] => 174.91.121.94 ) -------------------------------------- --- New Lead Received: 2026-08-11 18:33:36 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1786055512772=>init-started:1786473136878=>validator-called:1786473136890=>validator-mounted-false:1786473136890=>init-complete:1786473136892=>interval-complete:1786473157959=>onsubmit-fired:1786473205522=>observerSubmitHandler_received-submit-event:1786473205522=>onsubmit-fired:1786473214429=>observerSubmitHandler_received-submit-event:1786473214429=>submit-validation-passed:1786473214437=>observerSubmitHandler_validation-passed-submitting-form:1786473214446 [submitSource] => form [submitDate] => 1786473214446 [buildDate] => 1786055512772 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => FARIDA [last] => MIRZA ) [q13_locationOf] => L7A0P9 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[unread] => [parent] => [ip] => 209.29.96.9 ) -------------------------------------- --- New Lead Received: 2026-08-11 22:29:16 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1786083335765=>init-started:1786487049213=>validator-called:1786487049246=>validator-mounted-false:1786487049248=>init-complete:1786487049268=>interval-complete:1786487070258=>onsubmit-fired:1786487242134=>observerSubmitHandler_received-submit-event:1786487242138=>onsubmit-fired:1786487361975=>observerSubmitHandler_received-submit-event:1786487361976=>submit-validation-passed:1786487362022=>observerSubmitHandler_validation-passed-submitting-form:1786487362083 [submitSource] => form [submitDate] => 1786487362083 [buildDate] => 1786083335765 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Karen [last] => Ottenbrite ) [q13_locationOf] => 123 Edward Street 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you like us to contact you?:By Phone, Phone Number:(416) 462-9934, What service are do you requesting?:Medical Appointment Escorts, What type of Medical Escort you are requiring?:Post-Operative Procedure, When do you need service to start?:Tuesday August 18th 11:30am, How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:I need someone to escort me from my procedure and I will arrange taxi service [unread] => [parent] => [ip] => 99.229.225.53 ) -------------------------------------- --- New Lead Received: 2026-08-12 04:54:30 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-08-12 04:54:30 --- Data Source: Unknown Source -------------------------------------- --- New Lead Received: 2026-08-12 18:24:27 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1786055512772=>init-started:1786558419810=>validator-called:1786558419840=>validator-mounted-false:1786558419841=>init-complete:1786558419848=>interval-complete:1786558440856=>onsubmit-fired:1786559068557=>observerSubmitHandler_received-submit-event:1786559068558=>submit-validation-passed:1786559068571=>observerSubmitHandler_validation-passed-submitting-form:1786559068612 [submitSource] => form [submitDate] => 1786559068612 [buildDate] => 1786055512772 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Nadine [last] => Fort ) [q13_locationOf] => Toronto (Cabbage Town) [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => nadinerfort@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Bathing / hygiene [1] => Meal assistance / feeding [2] => Mobility assistance ) [q11_areYou] => Someone else [q6_q6_textarea4] => Our 48 year old son will be having hip replacement surgery in September. He lives in a small apartment in Cabbage town area of Toronto. On the 2nd floor. We are in British Columbia. We are not familiar with the after care needs of hip replacement. We could fly there to help him but there is limited space and I wonder if it would be more beneficial to use that money to purchase short term care. Maybe he would need help getting to appointments? He does not have a car. I assume your company would be familiar with the kind of care required for the first week after surgery- and could give a quote based on that? Thank you for your time. 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He lives in a small apartment in Cabbage town area of Toronto. On the 2nd floor. We are in British Columbia. \r\nWe are not familiar with the after care needs of hip replacement. We could fly there to help him but there is limited space and I wonder if it would be more beneficial to use that money to purchase short term care. \r\nMaybe he would need help getting to appointments? He does not have a car. \r\nI assume your company would be familiar with the kind of care required for the first week after surgery- and could give a quote based on that? \r\nThank you for your time.","event_id":"1786558419811_261185135750051_7M1ZgOa","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Fo\",\"id_10\":\"By\",\"id_3\":\"na\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"Ou\"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:Nadine Fort, Location of Service:Toronto (Cabbage Town), How would you like us to contact you?:By Email, Email Address:nadinerfort@gmail.com, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Bathing / hygiene Meal assistance / feeding Mobility assistance, Are you requesting this service for::Someone else, Please briefly describe your situation and the care or services you may be looking::Our 48 year old son will be having hip replacement surgery in September. He lives in a small apartment in Cabbage town area of Toronto. On the 2nd floor. We are in British Columbia. We are not familiar with the after care needs of hip replacement. We could fly there to help him but there is limited space and I wonder if it would be more beneficial to use that money to purchase short term care. Maybe he would need help getting to appointments? He does not have a car. I assume your company would be familiar with the kind of care required for the first week after surgery- and could give a quote based on that? Thank you for your time. [unread] => [parent] => [ip] => 154.5.132.201 ) -------------------------------------- --- New Lead Received: 2026-08-12 21:44:49 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1786055512772=>init-started:1786570910375=>validator-called:1786570910387=>validator-mounted-false:1786570910387=>init-complete:1786570910390=>interval-complete:1786570931400=>onsubmit-fired:1786571085148=>observerSubmitHandler_received-submit-event:1786571085148=>submit-validation-passed:1786571085153=>observerSubmitHandler_validation-passed-submitting-form:1786571085166 [submitSource] => form [submitDate] => 1786571085166 [buildDate] => 1786055512772 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Amelia [last] => Brushett ) [q13_locationOf] => Yonge-Eglinton [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => ameliabrushett@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I'm scheduled for a colonoscopy on October 17th and I need an escort to show up but I don't need them to come with me home. I just can't be released unless someone is there. Unfortunately my family lives far and my close friends are working that day. So I would just need them to come up meet me and put me in the uber. 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I just can't be released unless someone is there. Unfortunately my family lives far and my close friends are working that day. So I would just need them to come up meet me and put me in the uber. ","event_id":"1786570910375_261185135750051_GmkcxeF","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Br\",\"id_10\":\"By\",\"id_3\":\"am\",\"id_8\":\"Sp\",\"id_6\":\"I'\"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Amelia Brushett, Location of Service:Yonge-Eglinton, How would you like us to contact you?:By Email, Email Address:ameliabrushett@gmail.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I'm scheduled for a colonoscopy on October 17th and I need an escort to show up but I don't need them to come with me home. I just can't be released unless someone is there. Unfortunately my family lives far and my close friends are working that day. So I would just need them to come up meet me and put me in the uber. [unread] => [parent] => [ip] => 38.49.178.82 ) -------------------------------------- --- New Lead Received: 2026-08-13 13:21:00 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1786055512772=>init-started:1786626968809=>validator-called:1786626968815=>validator-mounted-false:1786626968815=>init-complete:1786626968819=>interval-complete:1786626990140=>onsubmit-fired:1786627259819=>observerSubmitHandler_received-submit-event:1786627259819=>submit-validation-passed:1786627259828=>observerSubmitHandler_validation-passed-submitting-form:1786627259835 [submitSource] => form [submitDate] => 1786627259835 [buildDate] => 1786055512772 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Peter [last] => Downey ) [q13_locationOf] => 60 Clipper Road [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => petedowney@rogers.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Escorts [q6_q6_textarea4] => I'm 72 and planning on having oral surgery and don't have anyone to take me home afterwards. The clinic is Parkway Dental at the Parkway mall on Ellesmere road. It's not too far from where I live. Can you help me? 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The clinic is Parkway Dental at the Parkway mall on Ellesmere road. It's not too far from where I live. Can you help me?","event_id":"1786626968809_261185135750051_l2zZNn0","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Do\",\"id_10\":\"By\",\"id_3\":\"pe\",\"id_8\":\"Sp\",\"id_6\":\"I'\"}","path":"\/submit\/261185135750051","q11_areYou":"","q14_whatAssistance":""} [fromTable] => [appID] => [pretty] => Full Name:Peter Downey, Location of Service:60 Clipper Road, How would you like us to contact you?:By Email, Email Address:petedowney@rogers.com, What service are you interested in?:Medical Escorts, Please briefly describe your situation and the care or services you may be looking::I'm 72 and planning on having oral surgery and don't have anyone to take me home afterwards. The clinic is Parkway Dental at the Parkway mall on Ellesmere road. It's not too far from where I live. Can you help me? [unread] => [parent] => [ip] => 99.240.174.154 ) -------------------------------------- --- New Lead Received: 2026-08-14 01:20:21 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1786670243034=>init-started:1786670243247=>validator-called:1786670243287=>validator-mounted-false:1786670243288=>init-complete:1786670243294=>interval-complete:1786670264294=>onsubmit-fired:1786670420282=>observerSubmitHandler_received-submit-event:1786670420283=>submit-validation-passed:1786670420291=>observerSubmitHandler_validation-passed-submitting-form:1786670420303 [submitSource] => form [submitDate] => 1786670420303 [buildDate] => 1786670243034 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Michelle [last] => Bromberg ) [q13_locationOf] => L6A4X9 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => mz.bromberg@gmail.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Hospital Private Duty Care [q14_whatAssistance] => Array ( [0] => Transfers ) [q6_q6_textarea4] => My grandfather had hip replacement surgery on his right hip. How much would it cost to bring him from the hospital at Mount Sinai downtown to the postal code address of L6A 4X9. What is the estimate cost? Door -to- Door. 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How much would it cost to bring him from the hospital at Mount Sinai downtown to the postal code address of L6A 4X9. What is the estimate cost? Door -to- Door. ","event_id":"1786670243248_261185135750051_eUdesba","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Br\",\"id_10\":\"By\",\"id_3\":\"mz\",\"id_8\":\"Sp\",\"id_6\":\"My\"}","path":"\/submit\/261185135750051","q11_areYou":""} [fromTable] => [appID] => [pretty] => Full Name:Michelle Bromberg, Location of Service:L6A4X9, How would you like us to contact you?:By Email, Email Address:mz.bromberg@gmail.com, What service are you interested in?:Hospital Private Duty Care, What assistance is required? Select all that apply.:Transfers, Please briefly describe your situation and the care or services you may be looking::My grandfather had hip replacement surgery on his right hip. How much would it cost to bring him from the hospital at Mount Sinai downtown to the postal code address of L6A 4X9. What is the estimate cost? Door -to- Door. [unread] => [parent] => [ip] => 142.47.134.18 ) -------------------------------------- --- New Lead Received: 2026-08-14 15:25:49 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1786670243034=>init-started:1786721014350=>validator-called:1786721014398=>validator-mounted-false:1786721014399=>init-complete:1786721014415=>interval-complete:1786721035414=>onsubmit-fired:1786721146745=>observerSubmitHandler_received-submit-event:1786721146746=>submit-validation-passed:1786721146787=>observerSubmitHandler_validation-passed-submitting-form:1786721146825 [submitSource] => form [submitDate] => 1786721146825 [buildDate] => 1786670243034 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Orlando [last] => Gutierrez ) [q13_locationOf] => Toronto, ON [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => 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[unread] => [parent] => [ip] => 38.18.126.127 ) -------------------------------------- --- New Lead Received: 2026-08-18 21:55:41 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261674921986270 [jsExecutionTracker] => build-date-1786688198456=>init-started:1787089619657=>validator-called:1787089619673=>validator-mounted-false:1787089619673=>init-complete:1787089619676=>interval-complete:1787089640989=>onsubmit-fired:1787090139967=>observerSubmitHandler_received-submit-event:1787090139967=>submit-validation-passed:1787090139975=>observerSubmitHandler_validation-passed-submitting-form:1787090139987 [submitSource] => form [submitDate] => 1787090139987 [buildDate] => 1786688198456 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Barbra [last] => Katz ) [q13_locationOf] => 133 Hazelton Avenue, suite 101 [q5_q5_textbox3] => Visage Cosmetic Plastic Surgery [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => barbra.katz@me.com [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Medical Appointment Escorts [q19_nameOf] => [q21_whatType21] => Array ( [0] => Post-Operative Procedure ) [q18_whenDo] => Array ( [other] => August 20, 7:30 am ) [q23_howLong] => Array ( [0] => One-Time ) [q6_q6_textarea4] => I will be discharged by 7:30am on Thursday, August 20 at 133 Hazelton Avenue. I need someone to accompany me in an Uber (booked by you?) home. My sister will be there to meet me. I have used your services before. 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I need someone to accompany me in an Uber (booked by you?) home. My sister will be there to meet me. I have used your services before. ","event_id":"1787089619657_261674921986270_8MR1Wx7","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Ka\",\"id_10\":\"By\",\"id_3\":\"ba\",\"id_8\":\"Sp\",\"id_6\":\"I \"}","visitedPages":"{\"1\":true,\"2\":true,\"3\":true,\"4\":true}","path":"\/submit\/261674921986270","q11_areYou":"","q14_whatAssistance":"","q20_whatType20":"","q22_whatType":""} [fromTable] => [appID] => [pretty] => Full Name:Barbra Katz, Location of Service:133 Hazelton Avenue, suite 101, Company or Organization:Visage Cosmetic Plastic Surgery, How would you like us to contact you?:By Email, Email Address:barbra.katz@me.com, What service are do you requesting?:Medical Appointment Escorts, What type of Medical Escort you are requiring?:Post-Operative Procedure, When do you need service to start?:August 20, 7:30 am, How long do you anticipate the need for service?:One-Time, Please describe the current situation, the type of care service needed, and any additional details that may help us better understand your circumstances and coordinate appropriate support.:I will be discharged by 7:30am on Thursday, August 20 at 133 Hazelton Avenue. I need someone to accompany me in an Uber (booked by you?) home. My sister will be there to meet me. I have used your services before. [unread] => [parent] => [ip] => 172.226.162.1 ) -------------------------------------- --- New Lead Received: 2026-08-18 23:54:13 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1786670243034=>init-started:1787097139835=>validator-called:1787097139854=>validator-mounted-false:1787097139854=>init-complete:1787097139858=>interval-complete:1787097161170=>onsubmit-fired:1787097251950=>observerSubmitHandler_received-submit-event:1787097251950=>submit-validation-passed:1787097251958=>observerSubmitHandler_validation-passed-submitting-form:1787097251964 [submitSource] => form [submitDate] => 1787097251964 [buildDate] => 1786670243034 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Alexa [last] => Bijelic ) [q13_locationOf] => L6X3A1 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Phone ) [q3_q3_email1] => [q4_q4_phone2] => Array ( [full] => (416) 220-6269 ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Companionship / supervision [1] => Toileting / incontinence care [2] => Repositioning ) [q11_areYou] => Someone else [q6_q6_textarea4] => Night time care from 10pm-7am or 11pm-7am. Needs help with diaper changes (86yrs old), companionship overnight as she gets anxiety being alone. 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Needs help with diaper changes (86yrs old), companionship overnight as she gets anxiety being alone. Looking for approx 3 nights a week","event_id":"1787097139835_261185135750051_3ej3AKz","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Bi\",\"id_10\":\"By\",\"id_4\":\"(4\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"Ni\"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:Alexa Bijelic, Location of Service:L6X3A1, How would you like us to contact you?:By Phone, Phone Number:(416) 220-6269, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Companionship / supervision Toileting / incontinence care Repositioning, Are you requesting this service for::Someone else, Please briefly describe your situation and the care or services you may be looking::Night time care from 10pm-7am or 11pm-7am. Needs help with diaper changes (86yrs old), companionship overnight as she gets anxiety being alone. Looking for approx 3 nights a week [unread] => [parent] => [ip] => 99.234.22.112 ) -------------------------------------- --- New Lead Received: 2026-08-19 13:52:24 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1786670243034=>init-started:1787147434328=>validator-called:1787147434337=>validator-mounted-false:1787147434337=>init-complete:1787147434340=>interval-complete:1787147455402=>onsubmit-fired:1787147543409=>observerSubmitHandler_received-submit-event:1787147543409=>submit-validation-passed:1787147543419=>observerSubmitHandler_validation-passed-submitting-form:1787147543424 [submitSource] => form [submitDate] => 1787147543424 [buildDate] => 1786670243034 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Niro [last] => Sivalingam ) [q13_locationOf] => M1s4p7 [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email [1] => By Phone ) [q3_q3_email1] => nsivalin@gmail.com [q4_q4_phone2] => Array ( [full] => (416) 523-3267 ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [0] => Bathing / hygiene [1] => Toileting / incontinence care [2] => Dressing / grooming [3] => Mobility assistance [4] => Repositioning [5] => Fall-risk monitoring ) [q11_areYou] => Someone else [q6_q6_textarea4] => Hello, I’m looking for in-home elderly care during daytime hours. For a senior citizen who has recently had some falls and needs assistance getting around between his bed and the bathroom. Hoping to connect to get some information on whether your organization can assist. Thank you. [event_id] => 1787147434328_261185135750051_o5Exuni [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"Si","id_10":"By","id_3":"ns","id_4":"(4","id_8":"Sp","id_11":"So","id_6":"He"} [path] => /submit/261185135750051 ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6629567438643340407 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1786670243034=>init-started:1787147434328=>validator-called:1787147434337=>validator-mounted-false:1787147434337=>init-complete:1787147434340=>interval-complete:1787147455402=>onsubmit-fired:1787147543409=>observerSubmitHandler_received-submit-event:1787147543409=>submit-validation-passed:1787147543419=>observerSubmitHandler_validation-passed-submitting-form:1787147543424","submitSource":"form","submitDate":"1787147543424","buildDate":"1786670243034","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"Niro","last":"Sivalingam "},"q13_locationOf":"M1s4p7","q5_q5_textbox3":"","q10_howWould":["By Email","By Phone"],"q3_q3_email1":"nsivalin@gmail.com","q4_q4_phone2":{"full":"(416) 523-3267"},"q8_whatService":"Home Care Services","q14_whatAssistance":["Bathing \/ hygiene","Toileting \/ incontinence care","Dressing \/ grooming","Mobility assistance","Repositioning","Fall-risk monitoring"],"q11_areYou":"Someone else","q6_q6_textarea4":"Hello, \r\n\r\nI\u2019m looking for in-home elderly care during daytime hours. For a senior citizen who has recently had some falls and needs assistance getting around between his bed and the bathroom. \r\n\r\nHoping to connect to get some information on whether your organization can assist. \r\n\r\nThank you.","event_id":"1787147434328_261185135750051_o5Exuni","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Si\",\"id_10\":\"By\",\"id_3\":\"ns\",\"id_4\":\"(4\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"He\"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:Niro Sivalingam , Location of Service:M1s4p7, How would you like us to contact you?:By Email By Phone, Email Address:nsivalin@gmail.com, Phone Number:(416) 523-3267, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Bathing / hygiene Toileting / incontinence care Dressing / grooming Mobility assistance Repositioning Fall-risk monitoring, Are you requesting this service for::Someone else, Please briefly describe your situation and the care or services you may be looking::Hello, I’m looking for in-home elderly care during daytime hours. For a senior citizen who has recently had some falls and needs assistance getting around between his bed and the bathroom. Hoping to connect to get some information on whether your organization can assist. Thank you. [unread] => [parent] => [ip] => 99.229.144.68 ) -------------------------------------- --- New Lead Received: 2026-08-19 14:28:11 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1786670243034=>init-started:1787149471048=>validator-called:1787149471070=>validator-mounted-false:1787149471071=>init-complete:1787149471077=>interval-complete:1787149492076=>onsubmit-fired:1787149689914=>observerSubmitHandler_received-submit-event:1787149689916=>submit-validation-passed:1787149689942=>observerSubmitHandler_validation-passed-submitting-form:1787149689961 [submitSource] => form [submitDate] => 1787149689961 [buildDate] => 1786670243034 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Jennifer [last] => Goodman ) [q13_locationOf] => 162 Alameda Avenue [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email [1] => By Phone ) [q3_q3_email1] => jenniferkaylagoodman@gmail.com [q4_q4_phone2] => Array ( [full] => (416) 616-4630 ) [q8_whatService] => Home Care Services [q14_whatAssistance] => Array ( [other] => Factor intravenous infusions for daughter with bleeding disorder Von Willebrand ) [q11_areYou] => Someone else [q6_q6_textarea4] => Daughter will need Factor infusions intravenously when she gets her menstruation for the first two days of it and it is regular her menstruation. We have the factor available and would like to be trained as well on how to self infuse. 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We have the factor available and would like to be trained as well on how to self infuse.","event_id":"1787149471049_261185135750051_kH63dUp","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"Go\",\"id_10\":\"By\",\"id_3\":\"je\",\"id_4\":\"(4\",\"id_8\":\"Sp\",\"id_11\":\"So\",\"id_6\":\"Da\"}","path":"\/submit\/261185135750051"} [fromTable] => [appID] => [pretty] => Full Name:Jennifer Goodman, Location of Service:162 Alameda Avenue, How would you like us to contact you?:By Email By Phone, Email Address:jenniferkaylagoodman@gmail.com, Phone Number:(416) 616-4630, What service are you interested in?:Home Care Services, What assistance is required? Select all that apply.:Factor intravenous infusions for daughter with bleeding disorder Von Willebrand , Are you requesting this service for::Someone else, Please briefly describe your situation and the care or services you may be looking::Daughter will need Factor infusions intravenously when she gets her menstruation for the first two days of it and it is regular her menstruation. We have the factor available and would like to be trained as well on how to self infuse. [unread] => [parent] => [ip] => 99.240.23.211 ) -------------------------------------- --- New Lead Received: 2026-08-19 15:01:46 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1786670243034=>init-started:1787151584470=>validator-called:1787151584476=>validator-mounted-false:1787151584476=>init-complete:1787151584478=>interval-complete:1787151605479=>onsubmit-fired:1787151699877=>observerSubmitHandler_received-submit-event:1787151699877=>onsubmit-fired:1787151705131=>observerSubmitHandler_received-submit-event:1787151705131=>submit-validation-passed:1787151705135=>observerSubmitHandler_validation-passed-submitting-form:1787151705141 [submitSource] => form [submitDate] => 1787151705141 [buildDate] => 1786670243034 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => KEVIN [last] => BROWN ) [q13_locationOf] => torotno [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => KB@ICONHOMES.COM [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Hospital Private Duty Care [q14_whatAssistance] => Array ( [0] => Companionship / supervision [1] => Bathing / hygiene [2] => Meal assistance / feeding [3] => Mobility assistance [4] => Repositioning [5] => Medication reminders [6] => Catheter care [7] => Fall-risk monitoring ) [q6_q6_textarea4] => Hi, I am getting a BMT and need private nurse care when I am in the hospital and when I am at home recovering. Starting in Jan/Feb 2026 [event_id] => 1787151584470_261185135750051_zbj2tew [timeToSubmit] => 20 [validatedNewRequiredFieldIDs] => {"new":1,"id_2":"BR","id_10":"By","id_3":"KB","id_8":"Sp","id_6":"Hi"} [path] => /submit/261185135750051 [q11_areYou] => ) POST Data: Array ( [action] => [webhookURL] => https://3rdpartysites.techwyse.com/c-care/webhook.php [username] => ccareheallth [formID] => 261185135750051 [type] => WEB [customParams] => [product] => [formTitle] => Web Form: Request A Quote [customTitle] => [submissionID] => 6629609056312873866 [event] => [documentID] => [teamID] => [subject] => [isSilent] => [customBody] => [rawRequest] => {"slug":"submit\/261185135750051","jsExecutionTracker":"build-date-1786670243034=>init-started:1787151584470=>validator-called:1787151584476=>validator-mounted-false:1787151584476=>init-complete:1787151584478=>interval-complete:1787151605479=>onsubmit-fired:1787151699877=>observerSubmitHandler_received-submit-event:1787151699877=>onsubmit-fired:1787151705131=>observerSubmitHandler_received-submit-event:1787151705131=>submit-validation-passed:1787151705135=>observerSubmitHandler_validation-passed-submitting-form:1787151705141","submitSource":"form","submitDate":"1787151705141","buildDate":"1786670243034","uploadServerUrl":"https:\/\/upload.jotform.com\/upload","eventObserver":"1","q2_q2_fullname0":{"first":"KEVIN","last":"BROWN"},"q13_locationOf":"torotno","q5_q5_textbox3":"","q10_howWould":["By Email"],"q3_q3_email1":"KB@ICONHOMES.COM","q4_q4_phone2":{"full":""},"q8_whatService":"Hospital Private Duty Care","q14_whatAssistance":["Companionship \/ supervision","Bathing \/ hygiene","Meal assistance \/ feeding","Mobility assistance","Repositioning","Medication reminders","Catheter care","Fall-risk monitoring"],"q6_q6_textarea4":"Hi, I am getting a BMT and need private nurse care when I am in the hospital and when I am at home recovering. Starting in Jan\/Feb 2026","event_id":"1787151584470_261185135750051_zbj2tew","timeToSubmit":"20","validatedNewRequiredFieldIDs":"{\"new\":1,\"id_2\":\"BR\",\"id_10\":\"By\",\"id_3\":\"KB\",\"id_8\":\"Sp\",\"id_6\":\"Hi\"}","path":"\/submit\/261185135750051","q11_areYou":""} [fromTable] => [appID] => [pretty] => Full Name:KEVIN BROWN, Location of Service:torotno, How would you like us to contact you?:By Email, Email Address:KB@ICONHOMES.COM, What service are you interested in?:Hospital Private Duty Care, What assistance is required? Select all that apply.:Companionship / supervision Bathing / hygiene Meal assistance / feeding Mobility assistance Repositioning Medication reminders Catheter care Fall-risk monitoring, Please briefly describe your situation and the care or services you may be looking::Hi, I am getting a BMT and need private nurse care when I am in the hospital and when I am at home recovering. Starting in Jan/Feb 2026 [unread] => [parent] => [ip] => 99.239.67.136 ) -------------------------------------- --- New Lead Received: 2026-08-19 18:41:04 --- Data Source: Jotform (via rawRequest POST) Decoded Form Data: Array ( [slug] => submit/261185135750051 [jsExecutionTracker] => build-date-1786670243034=>init-started:1787164433585=>validator-called:1787164433599=>validator-mounted-false:1787164433599=>init-complete:1787164433601=>interval-complete:1787164455111=>onsubmit-fired:1787164862652=>observerSubmitHandler_received-submit-event:1787164862653=>submit-validation-passed:1787164862657=>observerSubmitHandler_validation-passed-submitting-form:1787164862663 [submitSource] => form [submitDate] => 1787164862663 [buildDate] => 1786670243034 [uploadServerUrl] => https://upload.jotform.com/upload [eventObserver] => 1 [q2_q2_fullname0] => Array ( [first] => Jonathan [last] => Sheremata ) [q13_locationOf] => 155 Millwood Road (The Meighan) [q5_q5_textbox3] => [q10_howWould] => Array ( [0] => By Email ) [q3_q3_email1] => jds@davedavedave.net [q4_q4_phone2] => Array ( [full] => ) [q8_whatService] => Healthcare Facility Staffing [q6_q6_textarea4] => Looking for Companionship visits for Margaret, our 92 year old mother, who is moving from Montreal to Meighan Health Center (LTC) in Toronto on or about August 27th. She is immobile and has vascular dementia, and will need 2 to 3 of hours of consistent companionship per day, for 3 days a week when our family members will not be available. 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She is immobile and has vascular dementia, and will need 2 to 3 of hours of consistent companionship per day, for 3 days a week when our family members will not be available. [unread] => [parent] => [ip] => 173.73.85.188 ) -------------------------------------- --- New Lead Received: 2026-08-20 00:07:56 --- Data Source: Unknown Source --------------------------------------