Complete and sign your required forms online — securely and conveniently from any device.
All forms can be completed electronically. Please complete all required forms before your first scheduled visit. If you have questions, call us at 360.296.2671.
Personal information, medical history, emergency contacts, and care preferences. Required for all new clients.
Outlines services, rates, schedule, cancellation policy, and payment terms. Required before care begins.
Acknowledges receipt of our Notice of Privacy Practices. Required by law.
Acknowledges your rights as a client and your responsibilities while receiving care. Required for all clients.
Authorizes caregivers to administer or assist with medications. Required if medication support is needed.
💬 Need help? If you have trouble completing any form, please call us at 360.296.2671 and we'll be happy to assist you.