Free tools

Free tools for families and caregivers

Interactive assessments, checklists, and planners you can use right in your browser. Fill them in, see your results, and print or email yourself a copy when you're done.

Nothing is stored on our servers — your entries stay in your browser until you print, save as PDF, or choose to email yourself a copy.

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Assessments & quizzes

Scored tools that help you understand your situation and identify gaps.

Assessment · 7 questions
How Complex Is Your Care Situation?

Answer 7 questions about your care situation — number of providers, recent hospitalizations, portal management, coordination load — and receive a complexity score with a recommended Continuity Plan.

Self-audit · 24 questions · 5 categories
Records Readiness Self-Audit

Score your medical records readiness across five categories: consolidation, access and authorization, insurance documentation, emergency preparedness, and ongoing maintenance. Get a gap analysis with specific next steps.

Scorecard · 3 minutes
Caregiver Admin Burden Scorecard

Quantify the invisible administrative work you're carrying — scheduling, portals, insurance, referrals, family coordination — and see how your burden compares. Produces a prioritized action list.

Quiz · 10 scenarios
What's Falling Through the Cracks?

Ten scenario-based questions about the first week after a hospital discharge. Identifies which follow-up items are probably being missed and generates a personalized action plan with color-coded priorities.

Scorecard · scored readiness check
Facility-to-Home Transition Readiness Scorecard

Assess whether a loved one is ready for a facility-to-home transition — covering medical stability, home environment, caregiver capacity, and follow-up coordination. Get a readiness score with specific action items.

Planner · 10-question readiness check
Hospice at Home Readiness Planner

Evaluate whether a home hospice setup is operationally sustainable for your household across point-person coverage, caregiver backup, logistics, documentation, and contingency planning.

Checklists & planners

Fillable tools you complete with your own information, then print or save as PDF.

Checklist · 4-week tracker
Hospital-to-Home Checklist

An interactive checklist covering the first four weeks after discharge — follow-up scheduling, medication reconciliation, referral tracking, home logistics, care team contacts, and a week-by-week tracker.

Reference · fillable
Medicare Benefits Quick Reference

A printable reference covering what Medicare covers, common coordination scenarios, key deadlines, enrollment periods, and a glossary — with space to fill in your own plan details.

Planner · 7 sections
Aging at Home Coordination Planner

A comprehensive planner for people aging at home without family nearby — covering daily routines, care team, emergency plans, support network, "what if" scenarios, and goals. Fillable and printable.

Kit · 5 worksheets
Long-Distance Caregiving Kit

Five worksheets for families managing care from a distance: provider directory, medication tracker, communication log, visit planning checklist, and emergency information card.

Checklist · step-by-step
Doctor Transition Checklist

A step-by-step guide for transitioning to a new primary care doctor — records requests, referral transfers, prescription continuity, portal setup, and the first-visit preparation list.

Worksheet · family roles
Family Care Alignment Worksheet

A structured worksheet for families to clarify caregiving roles, communication preferences, decision authority, and shared information systems — designed to reduce conflict and improve coordination.

Worksheet · contacts & authority
Household Contact & Authority Map

Map out who has authority for what — healthcare proxy, financial POA, insurance contacts, provider offices, pharmacy, and emergency contacts — so everyone knows who to call and who can act.

Planner · multi-household
Multi-Household Weekly Planner

A weekly planner for families coordinating care across multiple households — track appointments, tasks, and handoffs for each location in one view.

Worksheet · cost comparison
Aging-at-Home Cost Comparison

Compare the real costs of aging at home — home modifications, in-home help, medical equipment, transportation, and coordination — side by side so you can plan and budget.

Template · family updates
Weekly Family Update Template

A structured template for writing weekly care updates to family — covering what happened, what changed, what's coming up, and what needs a decision. Keeps everyone informed without ad-hoc texts.

Scripts · ready-to-use language
Boundary & Scope Scripts for Caregivers

Pre-written scripts for common boundary conversations — saying no to tasks outside your role, redirecting medical questions to providers, setting limits with siblings, and communicating scope to professionals.

Interactive builders

Tools that generate a personalized output based on your specific situation.

Builder · personalized timeline
Provider Transition Timeline Builder

Enter your departing doctor's last day, your providers, and pending items. The tool generates a personalized timeline of what to do and by when — from records requests to the first visit with your new doctor.

Builder · 6-step wizard
Medical Records Request Email Builder

Answer questions about the source, your authority, which records you need, and delivery preferences. The tool generates a ready-to-send request email tailored to your situation — including jurisdiction-specific language when needed.

For healthcare professionals

These tools are designed to be shared with patients and families during transitions. If you're a discharge planner, case manager, social worker, or other clinical provider, you can generate a personalized referral sheet that directs families to these tools and more.

About these tools

Privacy

Nothing you enter is stored on our servers. Your entries stay in your browser. When you print or save as PDF, everything comes with it. If you choose to email yourself a copy, we use your email only to send the summary and a few follow-up resources. You can unsubscribe anytime.

Built by Averyn Care

These tools are built and maintained by Averyn Care, a non-clinical care coordination service. We help families manage the administrative side of healthcare — scheduling, records, referrals, and provider communication. These tools reflect the most common coordination challenges we see families face. Learn more about our services →