In person around Tampa Bay. By video in Florida, New York and Ohio. Check your address
Text size

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.

Start with a $50 Initial Consultation

Every journey starts with a $50 Initial Consultation. We work through what you need, gather the important details about the person and the home, and match you to the right service. The $50 is credited toward any visit you book within 30 days.

Book consultation Call