Sample
Hospital discharge instructions
- Metoprolol tartrate 50 mg twice daily
- Furosemide 20 mg once daily (new)
- Lisinopril 10 mg once daily
- Cardiology follow-up within 7 days
Your parent’s care, organized.
The forms a geriatric care manager keeps, in one record your whole family shares.
- $9.99 a month per parent
- 30 days free, no card
- HIPAA-compliant
See talking forms work
- Snap a photo
- It reads
- You decide
- All update
Face sheet
Updated- Name
- Margaret Ellis
- Date of birth
- 03/14/1946
- Primary doctor
- Dr. Anne Moreau
- Allergies
- Penicillin
- Current medications
- Metoprolol 25 mg twice daily; Lisinopril 10 mg daily; Atorvastatin 20 mg at bedtime Metoprolol 50 mg twice daily; Lisinopril 10 mg daily; Atorvastatin 20 mg at bedtime; Furosemide 20 mg daily
- Emergency contact
- Sarah Ellis (daughter)
Medication list
Updated| Medication | Dose | When |
|---|---|---|
| Metoprolol tartrate Needs review | 25 mg 50 mg | Twice daily |
| Lisinopril | 10 mg | Once daily |
| Atorvastatin | 20 mg | At bedtime |
| Furosemide New | 20 mg | Once daily |
Discharge sheet said 50 mg. Family kept 25 mg after checking.
Hospital checklist
Updated- Bring the face sheet and medication list
- Get a copy of the discharge instructions
- Review discharge medications with the pharmacist 2 changes
- Cardiology follow-up within 7 days
Which dose is right?
The discharge sheet says 50 mg. Mom’s list says 25 mg.
- A discharge sheet comes home. It changes Mom’s metoprolol from 25 mg to 50 mg and adds a new medication.
- Agensy reads it and finds the medications and the follow-up appointment.
- It flags what doesn’t match and asks the family which dose is right, instead of guessing.
- Every document updates at once: the medication list, the face sheet and the hospital checklist.
Mom just came home from the hospital with new instructions. Press play to see what Agensy does with them.
Step 1. Her daughter snaps a photo of the discharge sheet.
Step 2. Agensy reads the medications and the follow-up visit.
Step 3. One dose doesn’t match, so Agensy asks instead of guessing. Not sure? Ask her pharmacist.
Done. All three documents now match.Her list keeps 25 mg, with a note. The new medication and follow-up are added everywhere. The whole family sees the same thing.
See inside Agensy
One record for Mom or Dad. Everyone who helps sees the same thing.
Real Agensy screens, shown with a sample family.
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Snap a photo
Agensy reads medication lists, insurance cards and discharge papers for you.
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Hospital packet in one tap
Face sheet, medications and contacts, ready to hand to the ER.
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Refill and appointment reminders
By email and phone alerts.
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The whole family sees it
Invite family by email, or send a sibling a share link.
What’s going on right now?
Pick one. We’ll show you what to do first.
- Mom or Dad was just in the hospitalDischarge papers, new medications, follow-up visits.
- The medications are hard to keep straightOne list everyone trusts.
- I'm helping from far awayKnow what happened, without three phone calls.
- My siblings and I share the careEveryone sees the same thing.
- I'm planning for my own careYour wishes, ready for whoever helps.
- Just show me how it worksWatch the 20-second demo.
Are you a professional? For care managers or for organizations.
Every form a care manager uses. Filled in once.
Change a dose and the medication list, the face sheet and the hospital checklist all match. We call them talking forms.
- Face sheet
- Medication list
- Appointment notes
- Hospitalization checklist
- Discharge instructions
- Care plan
- Vitals and labs trackers
- Essential documents for aging
Each one downloads as a PDF.
Built by care managers who have sat with families in the ER.
We use Agensy with real clients in our own care management practice in Austin. Our team brings 30+ years of combined clinical experience.
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Ariel Rosenbaum, LCSW-S, C-ASWCM, TxCG
15+ years in geriatric care management
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Kcie Driggers, LCSW
Clinical Assistant Professor, UT Austin
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Emerson Smith
CEO. 25+ years building software
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Dee Dee Diaz, LCSW
A member of our team
One simple price
$9.99 a month for each person being cared for
- Everyone in the family included, at no extra cost
- Every form, reminder and download
- 30 days free, no credit card
- Cancel any time
Caring for two parents? That’s two records, $19.98 a month. Care managers can pay for their families’ records. Pricing details
Questions families ask
Is my family’s information private?
Yes. Agensy is HIPAA-compliant. Everything is encrypted in transit and at rest, and you decide who in the family can see what. We never sell your information.
What happens after 30 days?
Nothing, unless you choose to continue. There is no card to enter for the trial. If you keep going, it is $9.99 a month for each person being cared for, and you can cancel any time.
Can my brother and sister see it too?
Yes. Invite family members by email at no extra cost. You can also send a sibling a share link that expires, so they can see the essentials and pick up a task.
We already have a Medicare care navigator. Do we still need this?
Navigators help for a season. Agensy is the record your family keeps, whoever is helping. The face sheet and medication list stay with you, and you can share them with any navigator, doctor or care manager.
Does Agensy give medical advice?
No. Agensy organizes information and points out what doesn’t match, like two different doses of the same medication. Questions about a medication go to the prescriber or the pharmacist.
Start with a free face sheet.
The one page a hospital asks for first. Print it, fill it in, put it on the fridge.
For professionals
For care managers
Give every family your system, without retyping it. We sign a BAA.
How care managers use itFor organizations
A clinically authored record for the families you serve, which they keep.
Talk with us