Methods and systems for medical home testing are described. In one embodiment, the device includes a case member, a plunger member, an accumulator member and a handle member. The case member has a first distal end portion and a first proximal end portion. The first distal end portion has a distal opening and the first proximal end portion has an aperture. The plunger member is sized and configured for sliding through the aperture. The plunger member has a second distal end portion configured to slide within the case member. The accumulator member is disposed in the case member adjacent the plunger member. The accumulator member is compressed by the case member and configured for sliding through the distal opening as the plunger slides through the aperture. The handle member is attached to the accumulator member and extends through the plunger member. Other methods and systems are also described.