Averyn Care

Family Care Alignment Worksheet

Get your family on the same page — roles, responsibilities, and a communication plan for coordinated care

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Planning note: this worksheet is for alignment and delegation planning. Use it to structure routine family check-ins and your next non-urgent provider conversation.

1 Your family's care situation

Start with the basics so everyone is working from the same understanding of who needs support and why.

Current care phase

2 Family care team directory

List everyone involved in your loved one's care — family members, friends, or hired help. Knowing who's available and where they are makes delegation realistic.

Name Role Location Availability Contact

The Primary Contact makes final decisions and is Averyn's main point of communication.

3 Responsibility matrix

Assign each care area to a specific person. Unassigned tasks are the ones most likely to fall through the cracks.

Task Area Who Owns It Backup Person Current Status

4 Family communication plan

Miscommunication is the top source of family conflict during care. Decide upfront how updates flow and how often you connect.

How will updates be shared?
Update frequency
Family meeting cadence

5 Decision framework

Families that agree on decision-making rules in advance have fewer conflicts when things move fast. Write it down now — even in rough terms.

Tip The most effective families we work with designate one person as the administrative lead and give them authority over logistics. Major care decisions still involve the family.

6 Open issues & next steps

Capture anything unresolved — the loose ends that will fall through the cracks if nobody writes them down.

Issue / Task Owner Target Date Notes

Want a navigator to handle the coordination?

Aligning a family around care is the first step. An Averyn navigator can take it from here — managing the logistics, keeping everyone updated, and keeping the details organized so your family can focus on what matters.