Home Healthcare Partnership Application
About this free form template

Streamline Home Healthcare Partnerships with Paperform

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.

Built for the Home Healthcare Ecosystem

This template addresses the unique partnership requirements of home healthcare operations, including:

  • Visit scheduling capabilities and current system limitations
  • Caregiver workforce management and staffing challenges
  • Care plan documentation and tracking requirements
  • Medicare and Medicaid billing expertise and pain points
  • Compliance and regulatory considerations
  • Integration needs with existing EMR/EHR systems

Accelerate Partnership Evaluation with Paperform

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.

Purpose-Built for Healthcare Partnerships

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.

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HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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