Person-Centered Bathing Preferences Form

Captures resident or patient bathing preferences to support person-centered care, including preferred time of day, bathing method, water temperature, music, and caregiver gender preference.

Purpose and Consent

• I understand these preferences will be used by authorized care staff to support bathing care
• Preferred contact for follow-up questions
• Additional notes or accommodations
  Use this field only for bathing-related accommodations or preferences. Do not include unnecessary PII.

Bathing Schedule

• Preferred time of day for bathing
• Preferred bathing days
• How flexible is the bathing schedule?

Bathing Method and Comfort

• Preferred bathing type
• Please describe any details for the selected bathing type
• Preferred water temperature
• Comfort items or supports during bathing

Caregiver Preferences

• Preferred caregiver gender
• Reason for caregiver gender preference
• Privacy or dignity considerations for bathing support

Music and Environment

• Would you like music during bathing?
• Preferred music type or station
• Environmental preferences