We4Care by your side
Register as a Family Caregiver
or
sign in to your account
01
Personal Information
02
Personal Situation
03
Your Role as Caregiver
04
Support Needs & Communication Preferences
05
Availability & Contact preferences
06
Legal & Consent
07
Password
Create your care profile to receive support tailored to your caregiving journey
Profile Picture
First Name
*
Last Name
*
Birthday
*
Gender
Select Gender
Male
Female
Other
Email
*
Phone Number
Address
*
Postal Code
*
Country
*
City
Marital Status
*
Select an option
Single
Married
Divorced
Widowed
Separated
Prefer not to say
Do you have children?
Select an option
Yes
No
Profession
Current Professional Status
*
Select an option
Employed
Unemployed
Self Employed
Student
Retired
Other
Employment Percentage
Who are you supporting?
*
Your relationship to the person
*
Select an option
Partner
Parent
Child
Sibling
Friend
Other
Do you live with this person?
*
Yes
No
Is this your main caregiving responsibility?
*
Yes
No
I help multiple people
How much time per week do you dedicate to caregiving?
*
Less than 5 hours
Between 5 and 10 hours
Between 10 and 20 hours
More than 20 hours
It varies
What kind of support do you provide?
*
Emotional support
Administrative tasks
Medication management
Attending medical appointments
Daily assistance (meals, hygiene, logistics)
Social support (housing, paperwork, finances)
Other
What kind of support are you looking for?
Understanding the healthcare system
Navigating the healthcare system and building a support network
Get support on medical care coordination
Understanding medical information
Knowing how to help effectively
Emotional support
Social support (housing, finances, family situation, etc.)
Connecting with peer support groups
Learning to communicate with health professionals
Managing fatigue or stress
I'm not sure yet
Other, tell us in your own words
You can skip this and complete it later
Is there anything specific you'd like us to know about your situation?
Spoken Languages
*
Preferred language for health-related conversations?
*
Communication Language with us/We4Care
*
Select an option
Arabic
English
French
Spanish
You can change these preferences anytime from your profile
Availability
Day
Morning (08:00-12:00)
Afternoon (13:00-17:00)
Evening (17:00-20:00)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
My availability varies
Preferred Contact Methods
*
Phone
Email
SMS
Messaging via the app
Video call
I'll initiate contact when needed
You can always come back later to complete or update your profile. The more we know, the better we can support you — but you are always in control
I confirm that I am at least 16 years old.
*
If you are under 16, please do not complete this form. Use our [contact form], and our team will support you directly
I have read and accept the [Terms of Use] and [Privacy Policy]
*
These documents explain how your personal data is used and protected.
I agree to receive updates about We4Care initiatives
You can unsubscribe at any time
Your data belongs to you. We4Care is an independent service created by healthcare and social care professionals, all bound by strict professional confidentiality. We do not share your information without your explicit consent, and we are committed to protecting your privacy at every step.
Password
*
Show password
Hide password
Password must be at least 8 characters and contain at least one special character
Confirm password
*
Show password
Hide password
Back
Next
Register
We4Care by your side
We4Care by your side
We4Care by your side