Care Assessment Report


Fill out this care assessment report remotely while observing a new senior client requesting your home care services

Great way to send a quick assessment of the proposed care needed. Very easy to fill in digitally, or print and fill out by hand!

This template is perfect for a:

⭐ Home Care Company / Home Health Care Agency/ Senior care Business / Elder care Business
⭐ Private / Independent Caregivers
⭐ Care Facility
⭐ Volunteer Group
⭐ Non-Profit Organization

How can this template help?

⭐ Good communication with care team
⭐ Accountability among care team
⭐ Quick access to client information
⭐ Helps to make informed decisions
⭐ Repetition saves time and money

Main Features: WORD DOC:

✔️ Master File
✔️ Easy to edit forms (editable)
✔️ Insert Company LOGO
✔️ Form fill digitally/manually
✔️ Print to PDF
✔️ Printable form🖨️

⭐ How to add your logo instructions included!

Main Features: ADOBE PDF Fillable Form

✔️ Master File – Unlimited Use!
✔️ HYBRID-use both printed or digital format
✔️ Formatting will not change when information is entered in fields
✔️ Fill out form digitally/manually
✔️ Electronic Signature
✔️ Send electronically
✔️ Printable 🖨️
✔️ Instructions Included how to open and use form


2 Care Assessment Report Templates

Fillable Form using FREE Adobe Acrobat Reader Software

care assessment report-wisecaregiving


Editable Version Made in WORD


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