For clinicians

Refer a caregiver.

You are usually seeing the patient, and the person quietly coming apart is the one who drove them there. This page is arranged around what you would actually do about that.

Referral first, because that is why most clinicians are here. Everything else is below it.

Refer a caregiver The framework

The referral

Three minutes, in clinic or afterwards.

You are not enrolling them and you are not explaining the service. You are handing us a name and what you are seeing.

We contact them, we do the setup conversation, and the clinical review happens on our side before anything goes live in their home.

If they are not a fit, we tell them so, and we tell you.

In clinic, in about three minutesName, contact, and what you are seeing. We take it from there and you are not the one explaining the service.

You hear what happenedIf the caregiver consents, you get a plain summary of whether they engaged and what changed, in language you can put in a note.

Consent sits with themThe caregiver decides what is shared with you and can withdraw it. We do not route anything around that.

Everything else

The rest of it, in one place.

This used to be nine pages. It is one, because almost nobody needed all nine and everybody had to navigate them.

Screening the caregiver

Which instruments are used, when in a visit they fit, and what the numbers do and do not tell you. Written for the appointment you actually have, not the one with forty minutes in it.

NoteScores here indicate distress. They do not diagnose the framework, they do not establish eligibility for Proxi, and they do not predict response to it.

Open the screening tool

The DCS Clinical Companion

The caregiver gets something over time rather than a single number: what changed, in plain sentences, that they can bring to you.

Sign-in for practices with access, and a request form for those without.

Open the Companion

Billing for caregiver support

What can be billed when the person in front of you is the caregiver rather than the patient, and under which circumstances.

NotePayer, jurisdiction and effective date must be named. Nothing here guarantees reimbursement, and nothing implies Proxi is covered care or enables billing.

Training and CME

Material on recognising the cascade early, and on the communication techniques that hold up with this population. Where accreditation exists it is named; where it does not, it is not implied.

Work with us

We are running validation work and we would rather do it with clinicians than about them. If you see this population daily, your data and your objections are both useful.

Teaching examples

Consented examples of what the pattern looks like in practice, labelled where a detail has been changed.

Consent gatedAnything without documented consent does not appear here. Composites are labelled as composites or they are cut.

What we are not

Proxi is not medical care, and does not become it here.

It does not diagnose, it does not treat, and it is not emergency support. It answers a person in a familiar voice and tells the family what happened.

We are not asking you to prescribe it. We are asking you to mention it to the person who is not your patient and is the reason your patient is still at home.

Every escalation our system makes ends with a human being deciding. That includes you, when you are on the list.

What research has measured

The evidence base, with its limits stated.

Sources, plainly cited

The bibliography, in three categories.

Proxi is not emergency support and does not provide medical advice.