Experience Compassion and Quality with I-CARE Home Health Services Since 1993

At I-CARE, we bring over 30 years of expertise in health care to provide top-notch, family-focused nursing and personal care in the comfort of your home. Our team of over 60 dedicated caregivers understands the importance of supporting you through health challenges with sensitivity and respect. We are committed to not just offering care, but hope and guidance on your path to recovery and well-being. Each client receives a tailor-made In-Home Care Plan, meticulously overseen by our skilled nurses (RNs) from the initial assessment to ongoing follow-ups. Our promise is to nurture relationships with professionalism and consistent quality care. Choose I-CARE for a trusted partner in your home, where we treat every age and every story with the utmost care and attention it deserves

Consent For Care

Patient/ Client Name(Required)
Name Of Person Completing Form (If not patient)
Consent To Receive Services(Required)
Authorization Of Emergency Services(Required)
Statement of Patient Right & Responsibilities & Notice of Privacy Practices & Privacy Right(Required)
Statement of Patient Right & Responsibilities & Notice of Privacy Practices & Privacy Right(Required)

Patient Rights On Advance Directive

Consent(Required)

Service Options

Choose the type of services you would like to utilize:(Required)

Patient/Client Signature

This form must be signed by the I-CARE, Inc. patient/client unless the patient/client is a minor, incompetent, or physically incapable of signing. I have read and fully understand the content of this Consent Form and hereby agree to and authorize the foregoing provisions. As used in this document, the terms “I’, “me” and “my” refer to and include, in addition to the undersigned, the patient/client named above and others for whom the undersigned is responsible or for whom the undersigned has assumed responsibility in engaging I-CARE, Inc. to provide services to the patient/client.
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Patient/ Client Electronic Signature or Signature Of Authorized Representative(Required)
Electronic signatures are legally valid and hold the same weight as handwritten signatures