Home care checklist
A checklist offers a streamlined way to evaluate non-medical home care options. It can help identify important factors. Supports a simpler and more reliable decision-making process. It's a practical tool for making an informed choice with confidence.
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Email *
Agency Name & location *
Agency Point of Contact & Number *
Relevant Questions
Not all questions need to be answered and this list is not completely inclusive of all important factors

Years in operation & accreditation/certifications

*

Service Offerings

Staff Credentials and Training

Customization and Flexibility

Cost and Payment Options

Safety Measures

Family Involvement and Updates

Client Reviews and References

Personalized Experience

Disclaimer

This checklist is intended for informational purposes only and is not a substitute for professional medical advice or consultation. It does not create a healthcare provider-patient relationship. While the checklist aims to assist you in making informed decisions, it is not exhaustive and should be used in conjunction with expert guidance. Please note that this document is not HIPAA-compliant and should not be used to store or communicate protected health information (PHI). Always consult with healthcare professionals and legal advisors for specific recommendations tailored to your situation.

Feel free to print this checklist and tick off each box as you gather information. This will help you make a well-informed decision for your loved one’s care.

A copy of your responses will be emailed to the address you provided.
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