Our Resources

At Caring Friend Direct, our aim is to provide the most compassionate and heartiest care to each of our clients regardless of gender, race and nationalities

Self-service Forms for Consumer

Department of Health (DOH) Form

Fill out necessary forms required by the Department of Health to maintain compliance with health regulations.

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Medical Request (M11Q) Form

Submit medical requests promptly and securely, ensuring your healthcare needs are met in a timely manner.

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Health Care Plan (HCP) Form

Detail your personalized health care plan to receive tailored care and support from your healthcare provider.

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Memorandum of Understanding (MOU) Form

Create and manage agreements easily, facilitating clear and mutually agreed terms between parties.

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Address/Customer Information Change Form

Update your personal information efficiently to ensure your records are always accurate and up to date.

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Self-service Forms for Caregiver

PA Physical Form

Provide detailed information about your physical health for Pennsylvania state requirements.

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W-4 Form

Complete your W-4 form to specify your tax withholding preferences and ensure accurate tax deductions.

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Bank Authorization Form

Authorize your bank to allow direct deposit and manage payments conveniently.

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IT-2104 Form

Complete the IT-2104 form to adjust your New York State tax withholding.

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Caring Friend Direct

Compassionate Care, Tailored to Your Loved Ones

Compassionate and heartiest care

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