A referral helper or matching service can make the first call for you, which saves time on the phone. From the file: the helper's list reflects what the helper was given, and the first call collects only what the agency chooses to say on that call. Editorial: decide before anyone dials which questions the family keeps and which it hands off.

Local option: New Plan Care gives families in the St. Louis area in-home help so a parent can stay home: companionship, help with bathing and dressing, meals, and overnight care. Call (314) 405-0887.

Hand off the legwork

A helper can reasonably collect agency names, pass along brochures, book a first call, and gather basic details such as service area and the types of help offered. Those are logistics. Hand them off without guilt, and keep a note of which agency said what.

Keep the verification

Keep these with the family: whether the agency's public registration matches the address on its paper, whether its listing and its website name the same business, whether the care type you need appears in the public record, and what the contract defines as the service. A helper may pass along the answers, but the family should check the public files itself. The desk's five-step sequence for doing that is set out in How to check a provider yourself, in five lookups.

Write the call script

If a helper places the call, give the helper a written script with the same questions in the same order for every agency. Ask about service area, the aide's training record, how an unfilled visit is handled, and who the family calls first when a visit needs to change. Note each answer in the agency's own words. A summary by the helper is a second-hand record, so compare it against the notes before you act.

Hand the call back when the answer is vague

If the answer on the first call is vague, the family keeps the second call. Ask the same question again yourself, in writing if you can, and compare the reply with the helper's note. A helper is useful for the first contact. The family is the one who signs.