Harborwren caregiver tool

Care-decision worksheet

Use this calm, private page to gather what you want to remember before a care conversation. You can print or download your notes when you are ready.

Education-only boundary

This worksheet is for education and conversation planning only. It is not medical, legal, or financial advice, and it does not diagnose, prescribe, or recommend a course of action.

By default, your notes stay only in this page’s memory and disappear when you leave. If you choose “Save my progress on this device,” this browser profile keeps them for later visits and offers you a choice before restoring them. Saved answers are not sent to Harborwren or stored on our servers, and may be visible to others who can use this browser profile.

No account or sign-in required.

What matters to your parent
Note preferences, routines, values, or what helps them feel comfortable and respected.
What concerns you right now
Write down observations or care concerns without adding a diagnosis or clinical conclusion.
Questions to explore
Capture questions for a parent, family member, clinician, care partner, attorney, benefits professional, or another appropriate source.
One next step
Choose one small action to take next. Keeping it to one can make a beginning feel manageable.

When you are ready

Print the worksheet, or choose “Save as PDF” in your browser’s print dialog. Your notes stay in this page unless you choose to save them on this device.

Choosing “Save my progress on this device” stores your answers only in this browser on this device. Later edits save here too while browser storage is available. They may not be available on another device and may be lost if browser data is cleared.

For additional background, see National Institute on Aging: Advance care planning.

Free guidance, with an optional email follow-up

Choose a topic for free guidance

Select a topic to open its published Harborwren guide right away—no account, email, or form submission needed. If you would also like a welcome email and one practical follow-up about that topic, enter your email and opt in below. Your worksheet notes stay in this browser and are never sent.

Harborwren caregiver worksheet

Care-decision worksheet

Use this summary to guide a family discussion at your own pace.

What matters to your parent

Note preferences, routines, values, or what helps them feel comfortable and respected.

What concerns you right now

Write down observations or care concerns without adding a diagnosis or clinical conclusion.

Questions to explore

Capture questions for a parent, family member, clinician, care partner, attorney, benefits professional, or another appropriate source.

One next step

Choose one small action to take next. Keeping it to one can make a beginning feel manageable.

Education-only boundary: This worksheet is for education and conversation planning only. It is not medical, legal, or financial advice, and it does not diagnose, prescribe, or recommend a course of action.

Source for further reading: National Institute on Aging: Advance care planning — https://www.nia.nih.gov/health/advance-care-planning