TDNT COUNSELING SERVICES also provides referral services and connects you to other caregiver professionals for comprehensive care. Here you will find more information on this nonprofit program as well as information about related and additional services we provide.
One of the additional or add-on services we provide through this Program is the In-Home & Remote Emotional Care Services where we match and connect Certified Nursing Assistants (CNAs), Certified Medical Assistants (CMAs), Home Health Aides (HHAs) and Sitters to vulnerable youths and adults among other family members [elderly, youths, and others with disabilities requiring this service]. Once matched, these caregivers and professionals can independently provide services to public members of our communities as Private In-Home Companionship Attendants or Private Remote Companionship Attendants.
These volunteers or otherwise contracted professionals will play the role of reimbursed companions and sitters providing emotional care, meaningful activities and positive distractions to you or your loved ones.
Below are FORMS (View Service Agreement & Other Forms) we encourage you to review and sign in order to read more and to begin receiving services.
Review & Sign to Consent Online: 1. Companionship Care Client Services Agreement Or PRINT A BLANK PAPER AGREEMENT
**Not signing these forms #1 thru #… does not preclude you from receiving services from us or from making payments to us according to our policies, agreement and guidelines. Receiving services from us is not contingent on you signing these forms. You can still receive services and agree with a verbal or written consent outside of the use of these forms.
We do, however, encourage you to sign these for your records (to include in your client or medical records, if any). Please pay special attention to the Client Services Agreement as this form is especially useful to read before or upon signing up for services.
To signup for services, please complete the Companionship Care Client Service Agreement form or Book an appointment with a prepayment of your copay or self-pay amount, whether $1 or more. You can also PAY Sessions with a prepayment of your copay or self-pay amount. Simply email us the time you’d like to schedule your home visits.
You may also provide this payment and Sign Up information to us via our secure email, phone or mail. You may also provide this information during our free 10 minute initial consultation, when one is offered to you. Reviewing our forms, websites and asking us any questions you have to our email can prove even more useful.
Once you have signed up for service(s) with your request to schedule a session (appointment) and with your prepayment, you have consented to these policies and guidelines and are considered informed. Please review these forms, policies and guidelines thoroughly; and ask us any questions you may have prior to requesting or agreeing to schedule your session, essentially giving your informed consent.
Return to TDNT Counseling Services
Complete a Companionship Attendant Caregiver Log Online Or Print a Blank Paper Care Log
PRINT A BLANK PAPER APPLICATION (CLIENT)
PRINT A BLANK PAPER CAREGIVER LOG (HHC ATTENDANT)
TDNT Social Services, Inc. 