Disclosures & Disclaimers
Shara Pytowski Direct Care Services
Private-Pay Non-Medical Senior Companion Care Services
McKinney / Plano, Texas
Effective Date: July 1, 2026
Last Updated: July 1, 2026
IMPORTANT NOTICE
Shara Pytowski Direct Care Services provides private-pay, non-medical companion care and supportive assistance services only. We are not a licensed home health agency, healthcare provider, nursing service, hospice provider, therapy provider, or emergency response service. Services are intended to support companionship, daily routines, independence, and overall well-being and do not constitute medical care, treatment, diagnosis, or healthcare services.
NON-MEDICAL SERVICES DISCLOSURE
Shara Pytowski Direct Care Services provides supportive, companion-based services designed to assist seniors and their families with activities of daily living, companionship, respite care, and maintaining routines within the home and community.
All services provided are strictly non-medical in nature.
Nothing on this website or within services provided should be construed as:
Medical care
Healthcare services
Nursing services
Clinical treatment
Therapy services
Medical advice
Professional healthcare recommendations
NO HOME HEALTH AGENCY DISCLOSURE
Shara Pystowski Direct Care Services is not a licensed Home and Community Support Services Agency (HCSSA) and does not provide services requiring licensure under applicable Texas law.
Services provided are private-pay, non-medical companion care and supportive assistance services only.
NO HEALTHCARE PROVIDER RELATIONSHIP
Use of this website, communications with Shara Pystowski Direct Care Services, consultations, inquiries, or receipt of services does not establish:
A physician-patient relationship
A nurse-patient relationship
A therapist-patient relationship
A home health agency relationship
A hospice relationship
A hospital relationship
A fiduciary relationship
A legal representative relationship
Any other licensed healthcare relationship
SERVICES WE PROVIDE
Services may include:
Companion Care
Conversation
Social engagement
Emotional support
Recreational activities
Dementia Companion Support
Companion care
Supervision
Routine assistance
Family respite support
Stroke Recovery Support
Non-medical assistance
Routine support
Emotional support
Companion services
Caregiver Relief & Respite
Temporary family caregiver relief
Companion supervision
Routine assistance
Activities of Daily Living Assistance
Dressing assistance
Grooming assistance
Hygiene assistance
Mobility support
Daily routines
Meal Preparation
Meal planning
Meal preparation
Grocery assistance
Kitchen organization
Light Housekeeping
Laundry
Dishwashing
Organization
Tidying
Bed making
Transportation & Errands
Grocery shopping
Appointments
Community outings
Personal errands
Daily Enrichment Activities
Walking
Gardening
Bird watching
Reading
Conversation
Hobbies
Outdoor activities
SERVICES WE DO NOT PROVIDE
Shara Pyttowski Direct Care Services does not provide:
Medical Services
Medical diagnosis
Medical treatment
Medical advice
Medical monitoring
Medical assessments
Medical procedures
Clinical care
Nursing Services
Skilled nursing
Wound care
Injections
Catheter care
Ostomy care
Vital sign monitoring
Blood sugar monitoring
Medical charting
Medication Services
Medication administration
Medication dispensing
Medication management
Medication adjustments
Medication storage
Medication organization requiring professional oversight
Therapy Services
Physical therapy
Occupational therapy
Speech therapy
Respiratory therapy
Cognitive therapy
Behavioral therapy
Healthcare Services
Home health services
Hospice care
Palliative care
Rehabilitation services
Medical transportation
Clinical dementia treatment
Emergency Services
Emergency response
Emergency medical services
Crisis intervention
Emergency monitoring
Emergency transportation
Other Services
Financial advice
Legal advice
Estate planning
Guardianship services
Power of attorney services
Healthcare decision-making
Heavy lifting
Unsafe transfers
Firearm handling
Security services
DEMENTIA SERVICES DISCLOSURE
Dementia and memory support services provided by Shara Pystowski Direct Care Services are supportive and companion-based only.
Services are intended to provide:
Companionship
Routine support
Supervision
Emotional support
Family respite
Services are not intended to:
Diagnose dementia
Treat dementia
Cure dementia
Slow cognitive decline
Replace medical care
Prevent wandering
Prevent behavioral episodes
Guarantee safety outcomes
Families should maintain ongoing relationships with licensed healthcare providers.
STROKE RECOVERY DISCLOSURE
Support provided for individuals recovering from stroke is strictly non-medical and may include:
Companionship
Daily routine assistance
Meal preparation
Transportation support
Emotional support
Services do not include:
Rehabilitation
Physical therapy
Occupational therapy
Speech therapy
Clinical monitoring
Medical treatment
ACTIVITIES OF DAILY LIVING DISCLOSURE
Activities of Daily Living (ADL) assistance is supportive in nature and may include assistance with:
Dressing
Grooming
Hygiene
Mobility
Meal assistance
Daily routines
ADL support does not constitute:
Nursing care
Medical care
Clinical services
Healthcare treatment
MEDICATION DISCLAIMER
Shara Pystowski Direct Care Services does not:
Administer medications
Dispense medications
Prescribe medications
Alter medications
Store medications
Manage medication regimens
Medication reminders may be provided as a courtesy only.
The client, family, legal representative, or licensed healthcare provider remains solely responsible for medication management.
TRANSPORTATION DISCLAIMER
Transportation services are provided solely as a supportive convenience service.
Shara Pystowski Direct Care Services is not:
A medical transportation provider
An ambulance service
A common carrier
An emergency transportation provider
Clients remain responsible for:
Medical appointments
Medical instructions
Healthcare decisions
Insurance matters
Emergency transportation needs
FALL RISK DISCLAIMER
While every effort is made to provide safe and compassionate support, Shara Pytowski Direct Care Services cannot guarantee the prevention of:
Falls
Injuries
Medical emergencies
Accidents
Behavioral incidents
Physical decline
Families acknowledge that aging, mobility limitations, cognitive impairment, and health conditions inherently involve risk.
NO GUARANTEE OF RESULTS
Every individual's physical, emotional, and social needs are unique.
Shara Pytowski Direct Care Services makes no guarantees regarding:
Medical outcomes
Health outcomes
Recovery outcomes
Emotional outcomes
Functional outcomes
Cognitive outcomes
Quality-of-life outcomes
Longevity
Independence
EMERGENCY POLICY
IMPORTANT EMERGENCY NOTICE
Shara Pytowski Direct Care Services is not an emergency response provider.
Services provided are not intended to replace:
Emergency medical services
Hospital care
Urgent care
Emergency transportation
Physician services
Licensed healthcare providers
WHAT TO DO DURING AN EMERGENCY
In the event of:
Chest pain
Difficulty breathing
Suspected stroke
Heart attack symptoms
Falls with injury
Loss of consciousness
Severe bleeding
Mental health crisis
Medical emergency
Fire
Natural disaster
Immediate safety threat
STEP 1:
CALL 911 IMMEDIATELY
STEP 2:
Notify:
Emergency contacts
Family members
Legal representatives
Physicians as appropriate
STEP 3:
Follow instructions provided by emergency personnel.
SUSPENSION OF SERVICES DURING EMERGENCY
Shara Pytowski Direct Care Services reserves the right to suspend or terminate services if:
Medical intervention becomes necessary;
Emergency services are required;
The client's condition exceeds the scope of non-medical services;
Safety risks become unreasonable;
Environmental conditions become unsafe.
WEBSITE INFORMATION DISCLAIMER
The information contained on this website is provided solely for informational purposes.
No information on this website constitutes:
Medical advice
Healthcare advice
Legal advice
Financial advice
Mental health advice
Professional counseling
Clinical recommendations
Users should consult appropriate licensed professionals regarding their specific circumstances.
THIRD-PARTY WEBSITE DISCLAIMER
This website may contain links to third-party websites.
Shara Pytowski Direct Care Services:
Does not endorse third-party content;
Does not guarantee third-party information;
Is not responsible for third-party privacy practices;
Is not liable for third-party services.
ACCESSIBILITY COMMITMENT
Shara Pytowski Direct Care Services is committed to providing an accessible website experience and continually improving accessibility whenever reasonably possible.
NON-DISCRIMINATION DISCLOSURE
Shara Pytowski Direct Care Services provides services without discrimination based upon:
Race
Color
National origin
Religion
Sex
Age
Disability
Veteran status
Marital status
Genetic information
Any protected classification under applicable federal, state, or local law
SERVICE AVAILABILITY DISCLAIMER
Services are provided based upon:
Availability
Scheduling capacity
Geographic service area
Client compatibility
Safety considerations
Scope of services requested
Shara Pytowski Direct Care Services reserves the right to decline or discontinue services that:
Require medical care;
Require licensed healthcare services;
Present unreasonable safety risks;
Fall outside the scope of non-medical caregiving services.
CHANGES TO DISCLOSURES
Shara Pytowski Direct Care Services reserves the right to update or modify these disclosures and disclaimers at any time.
Changes become effective immediately upon posting.
FINAL NOTICE
Shara Pytowski Direct Care Services provides private-pay, non-medical companion care and supportive assistance services only. We are not a licensed home health agency, healthcare provider, nursing service, hospice provider, therapy provider, emergency response provider, or medical transportation provider. All services are intended solely to support companionship, daily routines, independence, and overall well-being.