Client Portal
Welcome to the BridgeCare Client Portal. Submit forms, request services, schedule transportation, and access your care documents — all in one place.
Client Services Menu
Online Client Intake
New client registration — personal info, physician, insurance, and service request.
Client Assessment
Mobility, bathing, dressing, meal prep, medication, safety, and fall risk assessment.
Service Request
Request home care services, schedule, and describe your care needs.
Transportation Request
Schedule non-emergency medical transportation, wheelchair rides, and round trips.
Document Upload
Upload insurance cards, physician orders, service agreements, and other documents.
Care Plan Access
View your personalized care plan. Secure access provided by your care coordinator.
Client Forms Library
Download and print all client forms: intake, assessment, HIPAA, consent, and more.
Additional Client Forms
HIPAA, consent, emergency contacts, grievances, referrals, and more — all available online.
HIPAA Authorization
HIPAAConsent to Services
ConsentEmergency Contact Form
EmergencyComplaint / Grievance
GrievanceClient Referral Form
ReferralClient Rights & Responsibilities
RightsRelease of Information
ReleaseBridgeCare Phone Menu
Press 1 — Home Care Services & New Client Inquiries
Press 2 — Transportation Services & Ride Scheduling
Press 3 — Employment Opportunities
Press 4 — Billing & General Questions
Press 5 — Client Services Director: Ronisha Terry-Sherman
Press 0 — Administrative Director: Rhonda Terry-Sullivan
Need Assistance?
Our care coordinators are available to help you complete any form or answer questions about your services.