Guides and forms
Reference guides you can read before your session. Every form you sign is handled in your secure client portal, never by download or email.
Guides you can read and print
Home Video Walkthrough Guide
How to prepare the home and your phone for a Ready for Discharge video session, with the measurements we will ask for.
Storm Ready checklist
Hurricane, heat, and power-outage preparation for households with medical equipment.
Fall risk quick check
Twelve yes or no statements adapted from the CDC's Stay Independent brochure. Your answers stay on your device.
Forms are completed in your client portal
We handle every form through PracticeQ, our secure client portal. After your $50 Initial Consultation, we send you only the forms that fit the services you choose. You sign them online, so there is nothing to print, download, or email.
- Service Agreement, Financial Policy and Medicare Notice (every client)
- Consent to Home Safety Assessment and Photography (every visit)
- Telehealth Consent (video visits)
- Authorization to Release Home Safety Report (if you want your report shared with family, caregivers, or professionals)
- Authorization to Request Records from a Hospital or Facility (Ready for Discharge)
- Contractor Consultation Service Order (names the contractor who receives your Modification Prescription)
- Membership Agreement (members)
Waiting on a form? Open your client portal to see what is ready to sign.