New Client Intake Packet
Client information, requested services, goals, health notes, and the consent disclosures needed to begin non-medical home care.
View intake formResources & Forms
Finding the right support can involve many questions. Harbor & Haven provides forms, guides, and resources to help clients and families understand the services and information available to them.
Client Forms
Open the intake packet, service agreement, or authorization below. Harbor & Haven does not currently provide a secure document-upload portal through this website. Print the completed form and return it using the instructions on the form. Do not send protected health information through the general contact form or ordinary email.
Client information, requested services, goals, health notes, and the consent disclosures needed to begin non-medical home care.
View intake formThe terms for services, fees, cancellation, client rights, confidentiality, and the signature page.
View agreementAuthorize Harbor & Haven to disclose the client records you select, including specially protected information only if you initial it.
View authorizationCaregiver & Family Resources
Helpful information for individuals supporting a loved one.
Explore ResourcesInformation and resources for older adults and their families.
Explore ResourcesResources and information relevant to veterans and their families.
Explore ResourcesGeneral resources for individuals and families seeking additional behavioral wellness information and support.
Explore ResourcesPersonalized support for life at home, connecting everyday needs with non-medical care and community resources.
Explore ResourcesExplore community-based programs and resources that may provide additional support.
Explore ResourcesInformation and resources for family caregivers seeking additional support.
Explore ResourcesFind answers to common questions about Harbor & Haven services.
View FAQsHow to Use Our Forms
Open the intake packet, service agreement, or release authorization. For any other form, contact us and we will send it.
Fill in the requested information, then print the form.
Return the completed form using the instructions printed on it. Call before sending sensitive information by ordinary email.
Contact Harbor & Haven if you have questions or need assistance.
Please note: Harbor & Haven does not currently provide a secure document-upload portal through this website.
If you’re unsure which resource or form you need, we’re happy to help.