Forms
The following forms are available to download. If you have questions about any of these documents, please contact us.
Client Intake Form
Initial client information — completed before your first service session.
Client Information Sheet
Supplementary personal and contact information for your client file.
Payment and Fee Agreement
Financial terms and payment arrangements for services.
Service Agreement
Terms and conditions for services between client and Care Companion Advocates.
HIPAA Authorization
Authorization for Care Companion Advocates to access or communicate about your healthcare information.
Emergency Contact
Emergency contact information for your client file.