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
Helpful information for clients, families & caregivers
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
Start with the right paperwork.
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.
Service Agreement
The terms for services, fees, cancellation, client rights, confidentiality, and the signature page.
View agreementHIPAA Privacy Notice
Learn about applicable privacy rights and how protected information may be handled.
View Privacy NoticeAuthorization for Release of Information
Authorize Harbor & Haven to disclose the client records you select, including specially protected information only if you initial it.
View authorizationCare Plan Questionnaire
Help us better understand your preferences, routines, needs, and goals.
Request this formClient Satisfaction Survey
Your feedback helps us understand your experience and identify opportunities to improve our services.
Complete SurveyCaregiver & Family Resources
Guides when you need a starting point.
Caregiver Guides
Helpful information for individuals supporting a loved one.
Explore ResourcesAging Resources
Information and resources for older adults and their families.
Explore ResourcesDementia Resources
Helpful educational and community resources for individuals and families affected by dementia.
Explore ResourcesVeteran Resources
Resources and information relevant to veterans and their families.
Explore ResourcesBehavioral Wellness Resources
General resources for individuals and families seeking additional behavioral wellness information and support.
Explore ResourcesCommunity Programs
Explore community-based programs and resources that may provide additional support.
Explore ResourcesRespite Care Resources
Information and resources for family caregivers seeking additional support.
Explore ResourcesFrequently Asked Questions
Find answers to common questions about Harbor & Haven services.
View FAQsPolicies & Notices
Website, privacy, and access.
For information about Harbor & Haven’s website, privacy, accessibility, and data practices, please review the applicable policies and notices below.
How to Use Our Forms
Open, complete, and return.
1. Open
Open the intake packet, service agreement, or release authorization. For any other form, contact us and we will send it.
2. Complete
Fill in the requested information, then print the form.
3. Return
Return the completed form using the instructions printed on it. Call before sending sensitive information by ordinary email.
4. Need Help?
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.
Need help getting started?
If you’re unsure which resource or form you need, we’re happy to help.