FOR FAMILIES
A PRACTICAL FIRST STEP
A few details.
A clearer conversation.
Use this checklist before calling. You can tick items for yourself and print a clean copy. Your selections stay in this browser page.
FOR REFERRAL PARTNERS
Before a referral.
Do not enter patient identifiers or attach clinical records on this website. Intake will confirm the appropriate channel.
YOUR REQUESTED ROUTINE
Put your schedule
into words.
This simple planner totals the hours you would like to discuss. It does not assess care needs, determine coverage, or authorize services.
Discuss your requested days and hours with intake. The calculator requires JavaScript; the checklists on this page work without it. Use your browser’s Print command to keep a copy.
Choose 1–7 whole days per week.
Choose 0.5–24 hours per day in half-hour increments.
20 hours per week
A requested schedule of 5 days × 4 hours. Discuss your individual plan with intake.
BEFORE YOU HANG UP
Leave with a clear next action.
Ask who will follow up, what information is needed, how to share it appropriately, and what must be confirmed before care can begin.
