Free Personal Care Agreement Template
Personal Care Agreement
1. Introduction
This agreement ("Agreement") is made on [Date] between [Your Name], hereinafter referred to as the "Caregiver," and [Name of Care Recipient], hereinafter referred to as the "Care Recipient."
Purpose of Agreement
The purpose of this Agreement is to outline the terms and conditions under which the Caregiver shall provide personal care services to the Care Recipient.
2. Services Provided
2.1 Description of Care Services
The Caregiver shall provide the following personal care services to the Care Recipient: assistance with bathing, dressing, grooming, medication management, mobility assistance, meal preparation, light housekeeping, and companionship.
2.2 Frequency and Duration of Services
The services shall be provided daily for one hour per visit as mutually agreed upon by both parties.
2.3 Location of Care
Services shall be provided at the Care Recipient's residence unless otherwise agreed upon by both parties.
3. Responsibilities of Caregiver
3.1 Duties and Responsibilities
The Caregiver shall perform the agreed-upon services with diligence, care, and professionalism. This includes but is not limited to providing physical assistance, emotional support, and maintaining a safe environment for the Care Recipient.
3.2 Availability and Scheduling
The Caregiver shall be available to provide services as agreed upon by both parties. Any changes to the schedule shall be communicated in advance, and reasonable efforts will be made to accommodate the Care Recipient's needs.
3.3 Reporting Procedures
The Caregiver shall maintain accurate records of the care provided and promptly report any changes in the Care Recipient's condition to appropriate parties, including family members or healthcare professionals.
4. Responsibilities of Care Recipient
4.1 Cooperation with Care Services
The Care Recipient shall cooperate with the Caregiver and follow instructions regarding care services to ensure their well-being and safety.
4.2 Payment Terms
The Care Recipient agrees to pay the Caregiver for services rendered as per the agreed-upon payment structure outlined in Section 5.
4.3 Termination Clause
The Care Recipient reserves the right to terminate this Agreement under the terms outlined in Section 7.
5. Compensation
5.1 Payment Structure
The Care Recipient shall pay the Caregiver $20 per hour for services rendered.
5.2 Billing and Invoicing
Invoices shall be provided monthly and shall include a breakdown of services provided and the corresponding charges
5.3 Payment Schedule
Payment shall be made within 15 days of receiving the invoice via direct deposit.
6. Confidentiality
6.1 Confidentiality Agreement
The Caregiver agrees to maintain confidentiality regarding all information obtained while providing care services, including but not limited to the Care Recipient's medical history, personal preferences, and family matters.
6.2 Protection of Personal Information
The Caregiver shall take appropriate measures to safeguard the Care Recipient's personal information and shall not disclose it to any unauthorized parties.
6.3 Data Handling Procedures
Any documents or records containing personal information shall be stored securely and disposed of properly when no longer needed.
7. Termination
7.1 Grounds for Termination
Either party may terminate this Agreement with 30 days written notice for any reason, including but not limited to dissatisfaction with services or changes in circumstances.
7.2 Notice Period
The terminating party shall provide written notice to the other party at least 30 days before the intended date of termination.
7.3 Transition of Care
In the event of termination, the parties shall work together to ensure a smooth transition of care, including transferring relevant information to a new caregiver or healthcare provider.
8. Miscellaneous
8.1 Amendments to the Agreement
Any amendments or modifications to this Agreement shall be made in writing and signed by both parties.
8.2 Governing Law
This Agreement shall be governed by and construed under the laws of [Jurisdiction].
Signatures
IN WITNESS WHEREOF, the parties have executed this Personal Care Agreement as of the date first above written.
[Your Name]
[DATE SIGNED]
[Name of Care Recipient]
[DATE SIGNED]
