Become a Healthcare to Homecare Follower

After retiring from her full-time job, Donna wanted to help others like herself who had family members needing care at home. From that desire, the idea of a caregiver mission grew.

Donna and Lynn Steigleder

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Contact Information

Donna Steigleder, Author 

Healthcare to Homecare (HTH), LLC

Email: information@healthcaretohomecare.com

Phone: 804-241-5350

Fax: 804-769-4695

https://healthcaretohomecare.com

Information provided on this website is for educational purposes only and should not be considered medical advice. If you need medical treatment, please consult an appropriate healthcare professional. Call 9-1-1 for immediate medical assistance.

Medical Pre-Registration Form Saves Time

Each time you go to a medical appointment, make a trip to the emergency room, or interact in any way with healthcare, you spend a lot of time answering questions about medications, medical history, insurance, and demographics. Remembering details, especially in stressful situations, is difficult. Having that information available in advance reduces stress. Plus, it provides a win-win for you and the healthcare team.

Below is a form I use for Lynn, my Dad, and myself. Everyone, from the EMTs to the hospital staff, loves it. 

Donna Steigleder

Front Page of Pre-Registration Medical History Form
Front Page of Pre-Registration Medical History Form
Second page of Pre-registration Medical History Form
Second page of Pre-registration Medical History Form