To help expedite your care needs, we offer this self assessment tool. This form is used instead of an in-person assessment where we can best match your desired needs to the skillset and personality of your caregiver. Beacon Home Care (“we,” “us”) may need to share certain personal information to coordinate and deliver services, arrange payment, ensure quality and safety, or comply with law. This form lets you tell us what we can share, with whom, and why. Why We Share (purposes) Care coordination & continuity (updating care plans, scheduling, handoffs) Payment & operations (eligibility, prior auth, billing, audits) Quality, safety & compliance (training, supervision, incident review) Referrals you request or authorize Legal requirements (court orders, reportable conditions) We do not sell your personal information. We do not share for third-party marketing without your separate written permission.

Private duty home care is not covered under any medical insurance, unless - there is a written order from a physician for outpatient Home Heath Care or Hospice Care.

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