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LOVE & CARE HABILITATIONHabilitation, Respite & Attendant Care

Family Intake

Welcome — Let's Start With A Conversation.

You do not need paperwork, a diagnosis or a decision to reach out. Share a little about your family and how to contact you, and we will take it from there.

A family talking with a care coordinator in a bright living room.
Which Of These Describes Your Family Right Now? (Select All That Apply)

A coordinator will call within one business day to discuss your family's needs privately. Please do not include diagnoses or medical details in this form.

Privacy Notice. Please do not include diagnoses, medications or other health details in this form. We use your contact information only to respond to this request, we never sell family information, and we will collect any additional details securely during your consultation.

Are You a Habilitation Agency?

ClarePath is built specifically for Arizona DDD Qualified Vendors.

  • Zone 1 — Professional Public Website

    A polished, accessible family-facing website that reflects the quality of your care.

  • Zone 2 — Staff Operations Portal

    Credential tracking, training records, availability and expiry alerts for your whole team.

  • Zone 3 — Compliance Platform Connection

    One-click launch into your HIPAA-certified EVV and member records platform.

Request a ClarePath Demo →

ClarePath is not a HIPAA Business Associate and does not store protected health information. Zone 3 compliance data is managed exclusively by each agency's designated HIPAA-covered platform. ClarePath manages Zones 1 and 2 only. | clarepathcare.com | © 2026 ZonaStak LLC