Our forms have moved. They now live in one place, so you no longer have to work out which link to use before you start.
Go to vita.vitalishealthcare.com/report.
The page is called Tell the office, and it asks you one question: what would you like to tell us? Choose the answer that fits your situation and it will take you to the right form. There is no password to remember and nothing to install, and every form is designed to work properly on a phone.
Please use the new page rather than an older form link you may have saved or bookmarked. Some of the old links still open, but what you send through them no longer reaches the office the same way.
If someone is in danger or needs urgent medical help, call 911 first. Fill in the form afterward, once everybody is safe.
Pick the one that fits
Something happened to a client or caregiver
Use this for a fall, an injury, a hospital visit, a near miss, or anything else that worried you. Tell us as soon as you can, even if it turned out fine in the end — a near miss today is often how we prevent something serious later.
Someone is unwell
Use this whether the person who is unwell is a client, another staff member, or you. It covers an infection, a fever, or any symptoms you believe the office should know about, including symptoms that seem minor at the time.
A problem with a visit or the schedule
Use this for a missed visit, arriving late, leaving early, a canceled visit, or a client who did not want care that day. Tell us what happened even when the client was fine about it.
Time off, a missed shift, or leaving Vitalis
Use this if you cannot make a shift, you would like to request time off, or you are giving your notice. Tell us as early as you are able to, because the sooner we know, the more time we have to arrange cover for your clients.
A concern or complaint
Use this when something has gone wrong and you want it looked into properly. Clients, family members, and staff can all use this form, and every complaint we receive is reviewed.
An update for the office
Use this for anything the office should know that is not a problem — a change of address or phone number, a note about how a client is doing, or anything else worth passing on.
What happens after you send a form
Your report goes straight to the office, and the right supervisor is notified automatically based on what you reported and which client it concerns.
When you finish, a reference number appears on the screen — something like INC-2026-0001. Write it down or take a screenshot of it. If you call us about that report later, the number lets us find it immediately.
If a situation is urgent, please do not wait for a reply to your form. Call us.
Looking for care, or looking for work?
These two are open to anyone, so please pass them on. Send the first to a family who needs help at home, and the second to someone you know who is looking for work.
Ask about care for yourself or someone else
Tell us who needs help at home and what kind of support they are looking for, and a member of our team will call you back. There is no cost for the conversation and no commitment to go ahead.
Apply for a caregiver job
We are hiring CNAs, GNAs, CMTs, and HHAs across Montgomery County and the areas around it. The application takes about ten minutes, and it asks about your certification, your experience, and the hours you can work.
Need help?
If a form will not open, or you are not certain which one you need, please get in touch. It is always better to call and ask than to guess or to leave something unreported.
Phone: 240.716.6874 Email: team@vitalishealthcare.com WhatsApp: Message us
We are here Monday to Friday, 9am to 5pm, and Saturday, 10am to 4pm.