Welcome to Your Care Journey

Client Intake Portal

Before we can begin providing care, we need to complete some important paperwork together. This page guides you through three simple stages โ€” from legal authorizations to learning about you as a person.

8 Authorizations

Permissions & acknowledgments

1 Personal Survey

So we know the real you

Care Plan Review

Your personalized care

START HERE

Scroll down to begin your forms

You Are Here โ€” Form Central

Your Intake Documents

Everything you need is organized below. Work through each stage in order โ€” the forms are numbered so you always know what comes next. Most clients complete everything in about 30-45 minutes.

How This Works

1

Click a form โ€” it opens in a new window or on a page

2

Fill & sign โ€” everything is electronic, no printing needed

3

Come back here โ€” continue to the next form

1
Required Forms 2 forms โ€ข Required
2
Tell Us About You 1 survey โ€ข Personal
3
Acknowledgements & Authorizations 6 forms โ€ข Review
4
Care Plan Review After assessment
START
1

Required Forms

2 forms to get started

PHI Authorization & Consent

MUST BE FIRST

Authorizes us to securely store your personal health information and sign forms electronically.

Complete Form

Home Care Intake Form - Demographics

CONTAINS PHI

Your main intake form with contact details, emergency contacts, and basic information.

Complete Form
Stage 1 Complete โ€” Continue Below
2

Tell Us About You

Person-Centered Survey

Person-Centered Survey

Tell us who you really are โ€” your favorite foods, daily routines, what makes you happy.

Complete Survey
Stage 2 Complete โ€” Final Step Below
3

Acknowledgements & Authorizations

6 forms to review and sign

These forms acknowledge Pennsylvania state requirements, your rights as a client, and confirm you've received important information.

HIPAA Notice of Privacy Practices

Review & Sign

Client Rights & Responsibilities

Review & Sign

Consumer Notice

Review & Sign

Complaint Process Acknowledgment

Review & Sign

Financial & Legal Restrictions

Review & Sign

Service Agreement

FINAL FORM
Review & Sign
Acknowledgements Complete

Care Plan Review

After your home assessment

After we conduct an in-home assessment, we'll create your personalized Care Plan. You'll review and sign it to begin services.

Care Plan / ISP

View Care Plan
Congratulations!
Care Begins!
You're now fully onboarded with Silver Home Care

Your caregiver will be matched based on your needs and preferences. We'll be in touch soon to schedule your first visit.

Need Help? We're Here For You

Stuck on a form? Have questions? Our friendly team is ready to walk you through every step. No question is too small.