Your essential forms and applications

Welcome to our dedicated Forms & Applications page, your central hub for all required client paperwork. Here, you can easily download, print, complete, or submit the necessary forms to begin your journey with Golden Moments with Cassie. These documents are vital for us to understand your needs and preferences, ensuring we provide safe, personalized, and truly meaningful care for you or your loved one.

Full Name *

Phone number *

Date of Birth *

Email address *

Emergency contact *

Who is this service for *

How long in need of services *

A little about yourself *

Agreement *

Agreement
☐ I certify that the information provided is accurate.
☐ I understand that submitting this application does not guarantee services until my booking is confirmed.

Policies and procedures

1. Care & Safety

Your loved one’s safety and well-being are my top priorities. I provide companionship and non-medical assistance with kindness, respect, and patience.

2. Punctuality

I strive to arrive on time and prepared for every visit. If an unexpected delay occurs, I will notify you as soon as possible.

3. Privacy & Respect

All personal information is kept confidential. I treat every client, family member, and home with dignity and respect.

4. Communication

Open and honest communication is important. Please let me know if there is anything I can do to better support you or your loved one.

5. Scope of Services

Golden Moments with Cassie provides companionship and non-medical support services only. Services do not include medical care, medication management, or duties outside the agreed-upon services.

6. Emergencies

In the event of an emergency, emergency contacts will be notified immediately and any instructions provided by the family will be followed.

7. Home Environment

A safe and welcoming environment helps ensure a positive experience for everyone. Please notify me of any conditions that may affect safety during visits.

8. Respectful Partnership

I value the trust you place in me and consider it a privilege to be part of your loved one’s life. I am committed to working together with families to provide the best experience possible.

Cancellation Policy

Please provide at least 24 hours notice for cancellations or schedule changes.
Cancellations made with less than 24 hours notice may be subject to a 50% cancellation fee.
I understand emergencies happen and appreciate communication as soon as possible.

Important Notes

Policies are designed to protect both clients and families.
Policy updates will be communicated in advance.
Thank you for helping create meaningful and memorable moments together.