EverBridge Supportive Home Care - Participant Intake and Service Request

1
Participant Full Name* This field is required.
First Name
Last Name
2
Date of Birth* This field is required.
Date
Year
Month
Day
3
Participant Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Phone Number* This field is required.
Please enter a valid phone number.
5
Email Address* This field is required.
example@example.com
6
Preferred Contact Method* This field is required.
Phone
Text
Email
7
Primary Contact Person Name
8
Relationship to Participant
Please Select
Please Select
Self
Parent
Child
Spouse
Guardian
Other Family Member
Friend
Other
9
Primary Contact Phone Number
Please enter a valid phone number.
10
Is the participant currently enrolled in the IRIS program?
Yes
No
Not Sure
11
IRIS Consultant Name
12
Fiscal Employer Agent/IRIS Program Support (if known)
13
Is the participant currently receiving supportive home care services from another agency?
Yes
No
Not Sure
14
Current Agency Name
15
Is the participant interested in switching to EverBridge Supportive Home Care?* This field is required.
Yes
No
Just Exploring Options
16
Does the participant already have a caregiver they want to use?* This field is required.
Yes
No
Not Sure
17
Caregiver Name (if applicable):
18
Relationship of Caregiver to Participant
19
What services does the participant need help with?
Bathing
Grooming
Dressing
Toileting
Mobility Assistance
Meal Preparation
Light Housekeeping
Companionship
Medication Reminders
Laundry
Respite Support
Other
20
Please describe the participants care needs* This field is required.
Huge
Large
Normal
Small
Ok
Ok
21
Preferred Schedule
Mornings
Afternoons
Evenings
Overnights
Weekdays
Weekends
Flexible
22
Preferred Start Date
Date
Year
Month
Day
23
Best time contact you
Please Select
Please Select
Morning
Afternoon
Evening
Anytime
24
Additional Notes
Huge
Large
Normal
Small
Ok
Ok
25
Consent to Contact:

By submitting this form, I authorize EverBridge Supportive Home Care to contact me regarding supportive home services, caregiver coodination, and next steps related to my service inquiry. I understand that submitting this form does not guarantee services and that additional information may be needed.
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Consent to Contact* This field is required.
I agree
I do not Agree
27
Signature* This field is required.
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28
Date Signed* This field is required.
Date
Year
Month
Day
Should be Empty: