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Explore all the solutions you can create with Paperform: surveys, quizzes, tests, payment forms, scheduling forms, and a whole lot more.
See all solutions
Connect with over 2,000 popular apps and software to improve productivity and automate workflows
See all integrations
Finding the right strategic partner for your home healthcare agency is critical to delivering quality care while managing the complex operational demands of visit scheduling, caregiver coordination, and Medicare/Medicaid billing compliance. This Home Healthcare Partnership Application template is designed specifically for SaaS platforms, healthcare technology providers, and home care agencies exploring strategic partnerships in the rapidly growing home healthcare sector.
Whether you're a technology provider looking to partner with home healthcare agencies, or an agency seeking operational solutions, this template captures all the essential information needed to evaluate partnership opportunities—from current operational challenges and patient volume to billing complexities and caregiver management needs.
This template addresses the unique partnership requirements of home healthcare operations, including:
Using Paperform's conditional logic, you can tailor follow-up questions based on partnership type (technology provider, referral partner, or agency collaboration), current pain points, and specific operational needs. This ensures you gather relevant details without overwhelming potential partners with unnecessary questions.
Once submitted, connect your form to your CRM via Paperform's native integrations or use Stepper to automatically route partnership inquiries to the right team members, create follow-up tasks, and trigger personalized email sequences based on partnership tier or urgency level. For partnerships requiring contracts or NDAs, seamlessly transition to Papersign to collect eSignatures without leaving your workflow.
Home healthcare is one of the fastest-growing sectors in healthcare delivery, with partnerships becoming essential for agencies to remain competitive. This template helps you qualify potential partners efficiently, understand their operational maturity, and identify opportunities where your solutions can deliver the most value—whether that's improving caregiver retention, reducing billing errors, or enhancing patient outcomes through better care coordination.