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Category: FORMS

Written by Sally Thimm OTRL

First of all, I would like to thank you for visiting the Sallycares.com family.  

It is my intention to help you with the difficulties that you are having managing your care at home.  

I do not want you to ever alter or change the information you have been given by your treating medical professionals, due to something that you have read on our web site. 

Our information is meant to be educational, and if you would like to look into treatment alternatives in your area, realize that you are doing that at your own risk. 

You should keep your physician’s office involved with all of the medical decisions that you make.

If you need direction regarding how to locate information for your specific questions, please use the “Contact Us” Tab on the home page of the web site.  Your questions will be answered by one of our staff members within 24-48 hours.

To begin to problem solve your situation, we need to start at the beginning.  We need to define what the problem is.  You may feel that there are “too many to count,” but I would encourage you to believe that if you feel that way, you are over whelmed. 

Let’s approach this by looking at the actual physical limitations the patient has, that you are caring for.  Go to the Free Forms Tab if you are visiting the site;

Click on the Patient’s Physical Limitations Form:  You will see a form that you can complete to document the patient’s status.

Then I want you to click on the Caregiver’s Comments Form, and complete that form as well.

The answers on those two forms will be our starting point to get to know your concerns and your needs.You can share your answers with us if you would like, or keep them in a file at home for you to reference as you try to develop a plan to manage those things that concern you.  After you complete these forms, use MyGoal Chart to get started.

If you join Sallycares.com, we can store your information in your file at Sallycares.com.

You can fax your completed forms to (941)492-2433 or email your completed forms back to us.

If you have chosen to join as a Platinum Member, that membership includes direct review of your situation by Sally, when you send us photos and/or videos of the challenges you are having. 

Whatever you choose to do, we certainly want to help both the patient and caregiver, problem solve their home management issues, and we look forward to working with you!

Kind Regards,

Sally     “ Let’s Get Going” J

Organize and track your medications, symptoms and outcomes. Print the forms that you feel will help you, and fill them out before your medical appointments. You will save time and get more out of your visit.  

Caregivers Comments Form

Download Form

My Goal Chart Form

Download Form

Patients Physical Limitation Form

Download Form