Care Recipient Registration
Set up daily wellness check-ins for your loved one
Full name *
Phone *
Family/caregiver emails (comma-separated) *
Password (min 8 characters) *
Confirm Password *
Primary call time
Calls per day
1
2
3
Second call time
Third call time
Health conditions (optional)
Medical conditions (optional)
Current medications (optional)
Baseline mood (optional)
Emergency contact
Relationship
— select —
Spouse
Partner
Son
Daughter
Grandson
Granddaughter
Niece
Nephew
Sibling
Parent
Caregiver
Friend
Neighbor
Other
Emergency phone
Primary doctor
Doctor phone
Special instructions
Cancel
Create Account
