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.
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.
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.
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.
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.
The evidence base, with its limits stated.
The bibliography, in three categories.
Proxi is not emergency support and does not provide medical advice.