Am I Eligible?
1. DOH Form – Physician’s Order (for Consumer)
• Your Doctor must confirm that you, the Consumer, are authorized to receive services.
• This form is 100% Mandatory – Your doctor MUST fill out this form.
2. PCP Transfer Form (for Consumer)
• Changing Health Plans
• Consumer needs this form filled out by their Doctor to transfer from their current plan to any other type of health care plan.
Welcome Package (for Consumer)
Paquete de bienvenida (para el Consumidor)
• General information for the Consumer including rules and guidelines for
. Take a look to learn more about your rights as a Consumer and what type of coverage is included in
Caregiver Packet (for Personal Assistant)
General information for the Personal Assistant, including rules and regulations for
. In addition, the Personal Assistant standard HR forms are included in the packet.
5. Pre Employment Physicial
7. Other Forms
Fill out this form to see if you qualify for
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Are you the patient?
Does the patient require home care services