Private by design

Start small. Share private details only after fit is confirmed.

Next Move Care uses a staged intake for adults age 18 and older. The public form is only a fit and scheduling request. It is not the place for medical, insurance, financial, or residence details.

How intake works

One clear step at a time.

A submitted request does not accept, schedule, or insure a service and does not create a client or clinician-patient relationship.

01
Request a fit call
Share only contact information, the city and state, requested setting, broad service interest, and general timing. Do not send private health details.
02
Confirm fit and availability
Next Move Care reviews age eligibility, scope, professional authority, local requirements, insurance, capacity, and whether the requested setting can be accepted.
03
Complete secure intake
If the request can move forward, Next Move Care opens a secure Spruce conversation and provides only the intake modules and documents needed for the accepted scope.

Step one

Request a confidential fit call.

Use broad categories only. Do not enter diagnoses, symptoms, medication names, provider names, insurer or claim numbers, a street address, financial details, medical history, or records.

For an immediate medical or safety emergency, call 911. This form is not continuously monitored and is not urgent triage.

Contact

Name you want us to use (optional)

Phone number (optional)A phone number is required only when you request a call or voicemail.

Email address (required)

Your relationship to the prospective client (required)

Fit and location

State or jurisdiction where support would occur (required)Enter only the state or jurisdiction. This screens service availability and professional authority; do not enter an address.

City or town where support would occur (required)Do not enter a street address. This helps screen local authority and in-home availability.

Requested setting (required)

Primary support you are exploring (required)Choose a broad category only. Do not include a diagnosis, medication, insurer, or medical story.

When would you like help? (required)This is not urgent triage. For an immediate medical or safety emergency, call 911.

Response preferences

Best time to call (optional)

How did you find us? (optional)

You may call the number I provided. Optional

You may leave a voicemail. Optional

Required acknowledgments

I confirm the prospective client is age 18 or older. Required

Next Move Care may contact me about this fit request using the information and permissions I provided. Required

I understand this form is not monitored for emergencies or urgent clinical concerns. Required

I understand this is only a fit and scheduling request. It does not create a client or clinician-patient relationship, accept or schedule a service, confirm coverage, or authorize me to send private health information. Required

Do not enter diagnoses, symptoms, medications, insurance or claim numbers, provider names, a street address, medical history, financial details, or records. A service can begin only after written acceptance, location-specific authority and insurance screening, and a signed agreement.

By submitting, you acknowledge the Privacy Notice, including its legal safety-reporting limits, and the Website Terms.

After preliminary acceptance

The detailed intake moves to Spruce.

Next Move Care may securely request a client profile, residence-visit information, a medication or supplement list, caregiver and resource details, administrative appeal documents, and an emergency contact plan. Only the modules needed for the written scope should be used.

Completed intake documents and private health information should be exchanged through secure app-to-app Spruce messaging, not ordinary email, SMS, or this website form.

Open Secure Spruce Read the Privacy Notice

No public medical-story field
No public record or photo uploads
No street address, date of birth, insurance ID, or medication list on the public form
No service begins before written acceptance and a signed agreement
Separate authorizations are used when communication with another person or organization is needed

Start small. Share private details only after fit is confirmed.

One clear step at a time.

Request a fit call

Confirm fit and availability

Complete secure intake

Request a confidential fit call.

The detailed intake moves to Spruce.