This in-home care agreement template has 2 pages and is a MS Word file type listed under our finance & accounting documents.
Sample of our in-home care agreement template:
IN-HOME CARE AGREEMENT This In-Home Care Agreement (the "Agreement") is entered into effect as of [DATE], BETWEEN: [CLIENT NAME], ("Client"), an individual with their main address located at OR a corporation organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at: [COMPLETE ADDRESS] AND: [CAREGIVER NAME], ("Caregiver"), a corporation organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at: [COMPLETE ADDRESS] SERVICES PROVIDED 1.1 The Caregiver agrees to provide in-home care services to the Client as agreed upon during discussions and consultations. The services may include but are not limited to: Personal care assistance (e.g., bathing, grooming, dressing) Medication reminders Meal planning and preparation Light housekeeping Companionship Transportation assistance Errands and shopping 1.2 The Parties will work together to establish a schedule of care, including the days and hours during which the services will be provided. The schedule may be subject to reasonable adjustments based on the needs of the Client and the availability of the Caregiver. CAREGIVER RESPONSIBILITIES 2.1 The Caregiver will provide services in a professional, respectful, and compassionate manner, ensuring the safety, comfort, and well-being of the Client at all times. 2.2 The Caregiver will keep all information regarding the Client confidential and will not disclose any personal or medical information to any unauthorized third parties, unless required by law. 2.3 The Caregiver will promptly inform the Client or designated emergency contacts of any significant changes or concerns related to the Client's health, well-being, or care plan. CLIENT RESPONSIBILITIES 3.1 The Client agrees to provide accurate and complete information about their medical history, health conditions, medications, and any other relevant details necessary for the provision of care. 3.2 The Client will promptly inform the Caregiver of any changes in their health condition, medications, or care requirements. 3.3 The Client is responsible for providing a safe and comfortable environment for the Caregiver, including necessary supplies and equipment for the provision of care, such as toiletries, bedding, and mobility aids. COMPENSATION 4.1 The Client agrees to pay the Caregiver the agreed-upon hourly rate for the services provided
