Everything you need to stay organized when you're coordinating care from far away
Planning note: this kit is for routine coordination across households. Use it to prepare for regular check-ins and non-urgent provider communication.
List every provider involved in your loved one's care. Share this with family members so everyone has the same information.
| Role / Specialty | Provider name | Phone | Portal URL | Next appointment |
|---|---|---|---|---|
Use this template for your weekly check-in call — with your loved one, their local helper, or their home health aide.
| Medication | Dosage | Frequency | Prescribing doctor | Pharmacy | Refill date |
|---|---|---|---|---|---|
| Date | Time | Provider | Purpose | Who is taking them? | Notes / follow-up |
|---|---|---|---|---|---|
Keep this on your fridge or phone. When something comes up, you'll know exactly who to contact.
| Situation | Who to call + number |
|---|---|
| Medical emergency | Call 911 |
| Urgent but not emergency (e.g., sudden symptom change) |
On-call nurse line: |
| Prescription refill needed | Pharmacy: |
| Appointment scheduling or rescheduling | Primary care: |
| Referral follow-up or prior auth status | Insurance: |
| Home health aide concern | Home health agency: |
| Insurance / billing question | Insurance member services: |
| Need to update family members | |
| Not sure who to call | Averyn Care navigator: 1-844-AVERYN1 |