Ageless Living Home Health, LLC
San Antonio: (210) 582-5840
Austin: (512) 583-3792
Toll-Free: (877) 396-4325
Therapy & Nursing
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Location and Directions
Please complete the form below and click submit to request access to our patient portal. All area marked with * must be completed. Access will be given via telephone only and will require 2 forms of identification for confirmation.
Relationship to Child
Grandparent (Proof of Guardianship Required)
Guardian (Proof of Guardianship Required)
State Representative (Proof of Guardianship Required)
Patient Date of Birth (MM/DD/YYYY)
Alt Phone Number
Proof of Guardianship (if required from relationship field)
Max file size: 20MB
PRIVACY: While no web site can guarantee security, we maintain physical, administrative, electronic, technical and procedural safeguards to help protect your personal information collected via the Portal as required by applicable law. While we cannot guarantee that loss, misuse or alteration to data will not occur, we use industry standards, such as Secure Socket Layers ("SSL") technology, to help safeguard against such occurrences. In certain areas, the information passed between your browser and our system is encrypted with SSL technology (which covers any messages, PII or communications a person directs to Ageless Living Home Health, LLC or the clinician team) to create a protected connection between you and our website to ensure confidentiality.
Our data center is both physically and electronically secured. Our servers are protected from open access to the Internet by using firewall and encryption technology. We limit access to personally identifiable information about you to our employees and third-party agents, who we reasonably believe need to have access to your information to provide you with the information or services you request via the Portal.
In the event that a breach in our security systems occurs and there is a possibility that an unauthorized person acquires your personal information, we will notify you of such a breach as may be required by applicable law.
In order to help maintain security, you should never share your user ID or password and should always sign out when you are finished using the Portal.
RIGHT TO ACCESS: The patient portal may only be accessed by
Patients 18 years or older
Individuals that have legal guardianship of a patient
Parents of patients 18 years or younger of which they have legal custody.
By clicking this box and submitting this form I agreeing to the terms and conditions set forth above.
® 2011 The Ageless Living Home Health, LLC. name and Logo are a Registered Trademarks.