Phoenix App

Loved One 1 Account

*Photo Tips: Submit one color photo. Use a clear image of your face. Do not use filters commonly used on social media.

Loved One Details

Your Loved One's personal information is private, and will not be publicly displayed, except for your ‘Preferred Name*’, and ‘Profile Picture’.

*If you don’t have a preferred name, your first name will be shown in your profile instead.

First Name *

Middle Name

Last Name *

Preferred Name

Date of Birth *

Whats your gender? *

Male

Female

Others

Mobile

Postal Address *

Add Care Organizers

You can add up to 4 people to organize care for ‘Loved One name’.

Jackson

Care Organiser

Mary

Care Organiser

*You can add up to 4 people to organise care for ‘Loved One name’.

Emergency Contacts

Name

Ethan Johnson

ethan@gmail.com

Mobile

+64 21 3993 0390

Edit Delete

Edit

Payment Details

Are you using Individualised Funding (IF)?

Yes

How do you wish to pay workers for visits with ‘Loved One name’?

Credit Card

Manual Deposit

Credit Card Number *

Name On Card *

Expiry Date *

CVV *

If you wish Mycare to claim funding on your behalf to your Individualised Funding (IF) host please provide the following (Know more)

Host *

Disability *

Select one or more options from the list below:

Physical
Intellectual
Sensory
Development Delay
Autistic
Neurological

In order to book Care Workers for your Loved One(s), please create one or more a Loved One profiles. You can add a Loved One by visiting your ‘Profiles’ page.

File Manager

Upload Required Files

Please upload the following required documents: Direct Payment Authorisation.

You can download the ‘Direct Payments Authorisation’ form here.

Direct Payment Authorisation *

File name without special characters. Accepted file formats: PDF. Max file size: 10 MB

Uploaded Files

Direct_Payment_Authorisation.pdf

Tuesday 27/11/2023 at 2:01pm by Loved One 1

Please add a description...

1 File in total

Terms & Conditions

Personal Care

Personal Care Options
Assistance with self medication /Reminder
Personal Hygiene & Grooming
Companionship & Mentoring
Meals & Cooking
Transportation & Shopping
Transfer & Mobility

Home Care

Select All Home Care Options
Housekeeping
Maintenance

Others

Select All Others
Respite
Overnight

Personal Care

Personal Care Options
Assistance with self medication /Reminder
Personal Hygiene & Grooming
Companionship & Mentoring
Meals & Cooking
Transportation & Shopping
Transfer & Mobility

Home Care

Select All Home Care Options
Housekeeping
Maintenance

Others

Select All Others
Respite
Overnight

Email(s)

TO:

Send Invite

Direct_Payment_Authorisation.pdf

Tuesday 27/11/2023 at 2:01pm by Jackson

Loved One 1 Account

Drop here or Browse Files