Free Home Care Contract Template
HOME CARE CONTRACT
This Home Care Contract (hereinafter referred to as the "Contract") is entered into this day of [DATE] (hereinafter referred to as the "Effective Date") by and between [CLIENT NAME] residing at [CLIENT'S ADDRESS] (hereinafter referred to as the "Client"), and [YOUR COMPANY NAME] with its primary place of business at [YOUR COMPANY ADDRESS] (hereinafter referred to as the "Provider"). Hereinafter collectively known as the "Parties".
Services
The Home Care Provider agrees to provide the following services to the Client:
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Assistance with activities of daily living, including bathing, dressing, grooming, and toileting.
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Medication management, including reminders and assistance with administration as prescribed.
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Meal preparation and feeding assistance as necessary.
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Light housekeeping tasks, such as laundry, tidying up, and dishwashing.
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Transportation assistance for medical appointments, grocery shopping, and other essential errands.
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Companionship and emotional support for the Client.
Schedule of Care
The Home Care Provider shall provide services to the Client according to the following schedule:
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Days: [Specify days of the week]
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Hours: [Specify hours of service each day]
Any changes to the schedule of care shall be communicated and agreed upon by both parties in advance.
Fees and Payment
The Client agrees to pay the Home Care Provider the following fees for the services rendered:
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Hourly Rate: [Specify hourly rate]
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Weekly/Monthly Rate: [Specify weekly or monthly rate]
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Additional Charges: [Specify any additional charges for special services or circumstances]
Payment shall be made [weekly/monthly] and is due [specify due date]. Late payments may incur a penalty of [specify penalty rate].
Rights and Responsibilities
Home Care Provider Responsibilities
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Provide care Professionally and empathetically engage with the client, preserve their privacy and maintain confidentiality, keep the client up to date with alterations in care or timetable, and meticulously record delivered services as well as observations about the client's health and wellness.
Client Responsibilities
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Give truthful health, medication, and preference details, be respectful and polite to the Home Care Provider, inform them of any changes in health or needs, and ensure a secure and pleasant environment for them to carry out their tasks.
Termination
Either party may terminate this Contract with [specify notice period] days' written notice to the other party. In the event of termination, the Client shall be responsible for payment for services provided up to the date of termination.
Confidentiality
Both Parties agree that during the term of this Contract and thereafter, they shall keep confidential all information.
Governing Law
This Contract shall be governed by and construed by the laws of [State/Country]. Any disputes arising under or related to this Contract shall be resolved through arbitration in [City/State], by the rules of the American Arbitration Association.
Entire Agreement
This Contract constitutes the entire agreement between the parties concerning the subject matter hereof and supersedes all prior agreements, understandings, negotiations, and discussions, whether oral or written.
IN WITNESS WHEREOF, the parties have executed this Contract as of the date first above written.
[Your Company Name]
By: [Your Name]
Provider
[Date Signed]
[Client's Name]
Client
[Date Signed]
