Custom Forms

Need a specialized intake form, assessment or care plan? Choose a built-in form, create your own through our custom forms builder, or let us build them for you. Fields populate automatically, saving you hours of data entry time!

Custom Form Builder

Choose from countless form templates in your AxisCare site or create forms specific to your needs with our Custom Form Builder!

  • Information auto-populates into client profiles, alleviating the need for double entry.

  • Clients and Caregivers can e-sign forms right from any device.

  • Create custom forms for clients, caregivers, applicants, and leads.

  • Customize user permissions on a form-by-form basis.

  • Save and print your forms branded with your company’s logo.

Custom Forms

Jacob saved his agency $10,000+

using AxisCare’s Custom Forms


Form Workflows

With AxisCare Form Workflows, you can automate the distribution, collection of signatures, & hand-off of forms seamlessly – without ever leaving your AxisCare site!

  • Hire new caregivers from automating applications, coordinating onboarding, and scheduling once hired. 

  • Automate notifications to schedulers once the care coordinator has completed  & submitted a client intake form.

  • On-site, real-time alerts and easy submissions of signatures and forms when an incident report is filed. 

Electronic Forms Signature

Make form signatures EASY + PAINLESS  for your office,  caregivers, clients, and their families with AxisCare’s Electronic Forms Signature.

  • Monitor the status of your signature requests to see if they are Pending, Open, Sent, or Signed.

  • See a full history of when signatures were captured and/or updated.

  • Use dynamic fields to auto-populate the client/caregiver's name into forms and emails for a more personalized experience.

Electronic Form Signature Features-1

How much time and money could you save with AxisCare's Custom Forms?

including call, travel, assessment, data entry, scanning documents, etc

Time Saved

Money Saved

This field is for validation purposes and should be left unchanged.
23,500+ Happy Users

Hear from our clients

axis icon

Explore More

We’re confident that once you try AxisCare Home Care Software, you won’t go back to the old way of managing your business.

0 +
Membership and Franchise Groups We Work With
0
States Served
0
Countries Served
0 +
Number of Seniors Served Through AxisCare Last Month

Wyoming

Supported: COMING SOON

Payers in Wyoming have selected CareBridge and AxisCare is completing the necessary development. We are planning on being fully compliant soon.


Illinois

Supported: YES

Illinois has chosen to implement an open vendor model in which the state selects a single aggregator (in this case, Sandata Technologies) while allowing providers and MCOs to continue using their existing EVV systems as long as it meets federal EVV guidelines.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with Sandata, Illinois’s contracted aggregator, which will allow agencies to easily send required visit information.

Minnesota

Supported: YES

AxisCare meets the state ‘s EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with HHAeXchange, Minnesota’s chosen aggregator, which will allow agencies to easily send required visit information directly to HHAeXchange. 

Michigan

Supported: YES

The Michigan Department of Health and Human Services has decided to go with an Open Model that allows providers to choose their own EVV system, as long as it meets federal EVV regulations. They are in the process of choosing an aggregator system that will accept data from all EVV systems.

AxisCare meets all state and federal EVV requirements, so providers may continue to use AxisCare as their EVV and management system.

Massachusetts

Supported: YES

Massachusetts has chosen an open model, but has not selected the aggregator.  AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution.  

Maryland

Supported: NOT AT THIS TIME

Maryland has chosen a closed model where AxisCare is currently not able to provide EVV data to the state.   Providers can choose to use AxisCare due to the many advantages but you must use ISAS to collect EVV required data.

 

Maine

Supported: YES

Maine has chosen to implement an open vendor model in which the state selects a single aggregator (in this case, Sandata Technologies) while allowing providers to continue using their existing EVV systems as long as it meets federal EVV guidelines.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with Sandata, Maine’s contracted aggregator, which will allow agencies to easily send required visit information.

Louisiana

Supported: YES

AxisCare meets the state ‘s EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with LaSRS, Louisiana’s chosen aggregator, which will allow agencies to easily send required visit information directly to LaSRS. 

 

Kentucky

Supported: CONTACT US

Kentucky has chosen an open model with Tellus serving as the aggregator.  AxisCare has not developed the integration with Tellus for Kentucky yet (AxisCare supports Tellus integration in other states), but if your organization is interested in using AxisCare, please contact us. 

 

Kansas

Supported: NOT AT THIS TIME

Kansas has chosen a closed model where AxisCare is currently not able to provide EVV data to the state.   Providers can choose to use AxisCare due to the many advantages but you must use AuthentiCare to collect EVV required data.

 

Iowa

Supported: YES

Iowa has chosen to implement an open vendor model in which the state selects a single aggregator (in this case, CareBridge) while allowing providers and MCOs to continue using their existing EVV systems as long as it meets federal EVV guidelines.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with CareBridge, Iowa’s contracted aggregator, which will allow agencies to easily send required visit information.

Indiana

Supported: YES

Indiana has chosen to implement an open vendor model in which the state selects a single aggregator (in this case, Sandata Technologies) while allowing providers and MCOs to continue using their existing EVV systems as long as it meets federal EVV guidelines.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with Sandata, Indiana’s contracted aggregator, which will allow agencies to easily send required visit information.


Idaho

Supported: YES

Idaho has chosen to implement an open vendor model in which the state selects a single aggregator (in this case, Sandata Technologies) while allowing providers and MCOs to continue using their existing EVV systems as long as it meets federal EVV guidelines.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with Sandata, Idaho’s contracted aggregator, which will allow agencies to easily send required visit information.

Missouri

Supported: YES

AxisCare meets the state’s EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with Sandata, Missouri’s chosen aggregator, which will allow agencies to easily send required visit information.


Hawaii

Supported: YES

Hawaii has chosen to implement an open vendor model in which the state selects a single aggregator (in this case, Sandata Technologies) while allowing providers and MCOs to continue using their existing EVV systems as long as it meets federal EVV guidelines.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with Sandata, Hawaii’s contracted aggregator, which will allow agencies to easily send required visit information.

 


Georgia

Supported: YES

Georgia has chosen to use an open vendor model in which the state sets the standards for EVV, and providers may either use their existing EVV system or choose one that best meets their needs.

AxisCare has developed a direct integration with Tellus, Georgia’s EVV aggregator, so providers may continue to use AxisCare as their EVV and management solution.

 

Alaska

Supported: CONTACT US

Alaska has chosen an open model with Therap serving as the aggregator.  Therap has not provided the detailed specifications yet, but if your organization is interested in using AxisCare, please contact us.

Florida

Supported: YES

AxisCare currently provides direct integration with HHAeXchange and Tellus, so providers may continue to use AxisCare as their EVV and management solution.

 

Delaware

Supported: Coming Soon

Payers in Delaware have selected Sandata and AxisCare is completing the necessary development. We are planning on being fully compliant soon.

 

Connecticut

Supported: NOT AT THIS TIME

Connecticut has chosen a closed model where AxisCare is currently not able to provide EVV data to the state.  Providers can choose to use AxisCare due to the many advantages but you must use Sandata to collect EVV required data.

 


Colorado

Supported: YES

Colorado has chosen to implement an open vendor model in which the state selects a single aggregator (in this case, Sandata Technologies) while allowing providers and MCOs to continue using their existing EVV systems as long as it meets federal EVV guidelines.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with Sandata, Colorado’s contracted aggregator, which will allow agencies to easily send required visit information.


California

Supported: YES

California has chosen to implement an open vendor model in which the state selects a single aggregator (in this case, Sandata Technologies) while allowing providers and MCOs to continue using their existing EVV systems as long as it meets federal EVV guidelines.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with Sandata, California’s contracted aggregator, which will allow agencies to easily send required visit information.


Arkansas

Supported: YES

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed integrations with HHAeXchange, AuthentiCare, and CareBridge, Arkansas’ contracted aggregators, which will allow agencies to easily send required visit information.

Arizona

Supported: YES

AxisCare meets the state ‘s EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with Sandata, Arizona’s chosen aggregator, which will allow agencies to easily send required visit information directly to Sandata.

Mississippi

Supported: YES

The Mississippi Department of Medicaid has decided to go with an Open Model that allows providers to choose their own EVV system, as long as it meets federal EVV regulations. They are in the process of choosing an aggregator system that will accept data from all EVV systems.

AxisCare meets all state and federal EVV requirements, so providers may continue to use AxisCare as their EVV and management system.

Montana

Supported: YES

Montana has decided to go with an Open Model that allows providers to choose their own EVV system, as long as it meets federal EVV regulations. They are in the process of choosing an aggregator system that will accept data from all EVV systems.

AxisCare meets all state and federal EVV requirements, so providers may continue to use AxisCare as their EVV and management system.

Wisconsin

Supported: YES

Wisconsin has chosen to implement an open vendor model in which the state selects a single aggregator (in this case, Sandata Technologies) while allowing providers to continue using their existing EVV systems as long as it meets federal EVV guidelines.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with Sandata, Wisconsin’s contracted aggregator, which will allow agencies to easily send required visit information.

Rhode Island

Supported: YES

Rhode Island has chosen to implement an open vendor model in which the state selects a single aggregator (in this case, Sandata Technologies) while allowing providers to continue using their existing EVV systems as long as it meets federal EVV guidelines.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with Sandata, Rhode Island’s contracted aggregator, which allows agencies to easily send required visit information.

West Virginia

Supported: CONTACT US

West Virginia has chosen an open model with HHAeXchange serving as the aggregator.  AxisCare has not developed the integration with HHAeXchange for West Virginia yet (AxisCare supports HHAeXchange integrations in other states), but if your organization is interested in using AxisCare, please contact us. 

Washington DC

Supported: CONTACT US

Washington DC has chosen an open model with Sandata serving as the aggregator.  AxisCare has not developed the integration with Sandata for DC yet (AxisCare supports Sandata integration in other states), but if your organization is interested in using AxisCare, please contact us. 

Washington

Supported: YES

Washington has chosen to implement an open vendor model in which the state selects a single aggregator (in this case, ProviderOne) while allowing providers to continue using their existing EVV systems as long as it meets federal EVV guidelines.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with ProviderOne, Washington’s contracted aggregator, which will allow agencies to easily send required visit information.

Virginia

Supported: YES

Virginia has chosen to use an open vendor model in which the state sets the standards for EVV, and providers may either use their existing EVV system or choose one that best meets their needs.

AxisCare has developed a direct integration with Tellus, Virginia’s EVV aggregator, so providers may continue to use AxisCare as their EVV and management solution.

Vermont

Supported: CONTACT US

Vermont has chosen an open model with Sandata serving as the aggregator.  AxisCare has not developed the integration with Sandata for Vermont yet (AxisCare supports Sandata integrations in other states), but if your organization is interested in using AxisCare, please contact us.

Utah

Supported: YES

AxisCare meets the state’s EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an export with UEVV, Utah’s aggregator, which will allow agencies to easily send required visit information. 

Texas

Supported: CONTACT US

Texas has chosen an open model with TMHP serving as the aggregator.  AxisCare has not developed the integration with TMHP for Texas yet, but if your organization is interested in using AxisCare, please contact us.

Tennessee

Supported: NOT AT THIS TIME

Tennessee has chosen a closed model where AxisCare is currently not able to provide EVV data to the state.   Providers can choose to use AxisCare due to the many advantages but you must use Sandata, Healthstar, and Time4Care to collect EVV required data.

South Dakota

Supported: CONTACT US

South Dakota has chosen an open model with Therap serving as the aggregator.  AxisCare has not developed the integration with Therap for South Dakota yet, but if your organization is interested in using AxisCare, please contact us. 

South Carolina

Supported: NOT AT THIS TIME

South Carolina has chosen a closed model where AxisCare is currently not able to provide EVV data to the state.   Providers can choose to use AxisCare due to the many advantages but you must use AuthentiCare to collect EVV required data.

Pennsylvania

Supported: YES

Pennsylvania has implemented an open model in which the state sets the standards for EVV, and providers may either use their existing EVV system or choose one that best meets their needs.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also integrated with Sandata and HHAeXchange, Pennsylvania’s two EVV aggregators, which allows agencies to easily send required visit information.

Nebraska

Supported: YES

AxisCare meets the state’s EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with Tellus, Nebraska’s chosen aggregator, which will allow agencies to send required visit information.

Oregon

Supported: YES

AxisCare meets the state’s EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an export with eXPRS, Oregon’s aggregator, which will allow agencies to easily send required visit information. 

Oklahoma

Supported: CONTACT US

Oklahoma has chosen an open model with AuthentiCare serving as the aggregator.  AxisCare has not developed the integration with AuthentiCare for Oklahoma yet (AxisCare supports AuthentiCare integrations in other states), but if your organization is interested in using AxisCare, please contact us. 

Ohio

Supported: YES

Ohio has chosen to implement an open vendor model in which the state selects a single aggregator (in this case, Sandata Technologies) while allowing providers to continue using their existing EVV systems as long as it meets federal EVV guidelines.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with Sandata, Ohio’s contracted aggregator, which will allow agencies to easily send required visit information.

North Dakota

Supported: CONTACT US

North Dakota has chosen an open model with Sandata serving as the aggregator.  AxisCare has not developed the integration with Sandata for North Dakota yet (AxisCare supports Sandata integrations in other states), but if your organization is interested in using AxisCare, please contact us. 

North Carolina

Supported: YES

North Carolina has implemented an open model in which the state sets the standards for EVV, and providers and MCOs may either use their existing EVV system or choose one that best meets their needs.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also integrated with Sandata, HHAeXchange, and CareBridge, North Carolina’s EVV aggregators, which allows agencies to easily send required visit information.

New York

Supported: YES

New York has implemented an open vendor model in which the state selects a single vendor while allowing providers to continue using their existing EVV systems as long as it meets federal EVV guidelines.

New York has chosen to work with three EVV aggregators: eMedNY, HHAeXchange and CareBridge.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have developed integrations eMedNY, HHAeXchange, and CareBridge which allow agencies to easily send required visit information.

New Mexico

Supported: NOT AT THIS TIME

New Mexico has chosen a closed model where AxisCare is currently not able to provide EVV data to the state.   Providers can choose to use AxisCare due to the many advantages but you must use AuthentiCare to collect EVV required data.

New Jersey

Supported: YES

New Jersey has implemented an open model in which the state sets the standards for EVV, and providers may either use their existing EVV system or choose one that best meets their needs.

AxisCare meets state EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also integrated with HHAeXchange and CareBridge, New Jersey’s two EVV aggregators, which will allow agencies to send required visit information.

New Hampshire

Supported: YES

New Hampshire has decided to go with an Open Model that allows providers to choose their own EVV system, as long as it meets federal EVV regulations. They are in the process of choosing an aggregator system that will accept data from all EVV systems.

AxisCare meets all state and federal EVV requirements, so providers may continue to use AxisCare as their EVV and management system.

Nevada

Supported: CONTACT US

Nevada has chosen an open model with AuthentiCare serving as the aggregator.  AxisCare has not developed the integration with AuthentiCare for Nevada yet (AxisCare supports AuthentiCare integration in other states), but if your organization is interested in using AxisCare, please contact us. 

Alabama

Supported: YES

AxisCare meets the state ‘s EVV requirements, so providers may continue to use AxisCare as their EVV and management solution. We have also developed an integration with HHAeXchange, Alabama’s chosen aggregator, which will allow agencies to easily send required visit information directly to HHAeXchange.