Resources

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Forms:

 

For Caregivers:

 

Caregiver Quick Start Guide (.pdf)

Combined Caregiver Time Slip & Notes Form (Sunday - Saturday) (.pdf)

Combined Caregiver Time Slip & Notes Form (Monday - Sunday) (.pdf)

Direct Deposit Instructions for Caregivers (.pdf)

FHS Direct Deposit Authorization Agreement (.pdf)

 

For Offices:

 

New Client Instructions (.pdf)

New Client Information Form (.pdf)

Letter to Introduce FHS to Care Recipients (.pdf)

Caregiver Quick Start Guide (.pdf)

Generic HIPAA Authorization to Release Policy Information Form (.pdf)

Generic Assignment of Benefits Form (.pdf)

Bankers Forms (.pdf)

CNA Forms (.pdf)

Genworth Forms (.pdf)

John Hancock Forms (.pdf)

MetLife Forms (.pdf)

Penn Treaty (.pdf)

SHIP/AME (.pdf)

 

For Care Recipients:

 

 

 

FHS Executive Summary (.pdf)

FHS EasyPay Guide & Letter Agreement -- Credit Card & ACH Option (.pdf)

FHS EasyPay Guide & Letter Agreement -- Check Option (.pdf)

FHS Balance Billing Agreement (.pdf)

FHS Factoring Service Guide (.pdf)

FHS Interconnect Guide (.pdf)

 

Webinars:

 

Webinar information coming soon.

 

Links:

 

Information coming soon.