When a loved one is moving into an Assisted Living Facility, Board and Care, Memory Care or other Living Community, California requires the 602A Physician’s Report. This form documents medical history, diagnoses, medications, functional abilities, and special care needs. It helps facilities ensure your loved one receives safe, appropriate care. At Home Based Medicine, we make this process as simple and stress-free as possible for patients and families.
We provide telehealth (virtual video) appointments with a licensed physician who can complete the 602A form after meeting the patient and reviewing their medical history.
- ✅ Telehealth Convenience – Appointments via Zoom (20–40 minutes)
- ✅ Form Completion – The 602A is filled out during the visit and returned the same or the next day (once all required information is available)
- ✅ Insurance Option – We will establish care, review and reconcile medications, assess function and make additional recommendations and follow up based on the evaluation. Insurance may or may not cover the visit, in that case, the self-pay option is available.
- ✅ Self-Pay Option – $250 flat fee includes the visit and form completion
- ✅ Medical Record Review – We can access most records once a chart is created, we may ask you for copies if we are unable to find electronic health records
- ✅ Fast Turnaround – Most families receive completed forms within hours after the appointment
What We Need From You Before the Appointment:
- Copy of front and back of insurance cards and ID
- Download and send in completed Intake Forms (sent via secure email or 🔒 Secure App: Spruce)
- The 602A Form provided by the facility
- Copy of Health POA or Advance Directive (if applicable)
- Recent Medical Records (available through your previous primary care or your health portal)
- Recent Vitals – Blood pressure and heart rate (can be taken at home if available)
- TB Screening Results – A PPD or chest X-ray (required for facility admission)
Step-by-Step Process
- Contact Us
Call/text 650-360-9309 or email or request form 602A completion appointment on line. - Paperwork
Download and Fill out the Telehealth Intake Form and send us the facility’s The 602A Form along with any supporting documents.
3. Telehealth Appointment
Meet with our physician via Zoom. Your loved one should be present, even briefly, so the doctor can complete the exam portion.
4. Form Completion
The 602A will be filled out during the visit. If TB test or chest X-ray results are pending, the form can be finalized once results are available.
5. Delivery
Completed forms are securely sent back via email or the Spruce app.
Frequently Asked Questions
At Home Based Medicine, we understand how stressful care transitions can be. Our goal is to make the 602A process fast, reliable, and compassionate, so you can focus on what matters most—supporting your loved one.
💬 How fast can the form be completed?
Most forms are completed and returned within a few hours of the appointment, provided all required information is available.
💬 What if the TB test is pending?
We can proceed with the appointment and complete most of the form. The TB section will be finalized once results are available.
💬 Do you accept insurance?
Yes, we accept Medicare part B and most Commercial insurances. Call your insurance to find out if this service is covered for you. If it is not covered or is denied, 602A form completion is a self-pay service ($250), and we accept insurance for ongoing primary care or palliative care services if patients choose to establish care.
What Families Are Saying
“We were in a huge bind trying to place our father into memory care. Our doctor couldn’t get us the form in time, and we had already taken time off work. Home Based Medicine made it possible to get the 602A completed quickly over telehealth, so we could move Dad into the facility without further delays. They were compassionate, responsive, and thorough. We are so grateful.” – Family in California