Home Care

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HOME CARE AGREEMENT

Full legal name of _______. Registered address of _______.

Full legal name of _______. Residential/Business address of _______.

Description of services to be provided _______.

Service start date _______ and service end date (if applicable) _______.

Total service fee _______. Payment terms (e.g., advance, monthly, upon completion) _______.

Governing law/state _______.

RECITALS

WHEREAS, the Client (as defined below) desires to engage the Caregiver (as defined below) to provide non-medical home care services for the benefit of the Care Recipient (as defined below);

WHEREAS, the primary goal of these services is to _______;

WHEREAS, the Caregiver represents that they possess the necessary skills, qualifications, and experience to perform the services outlined in this Agreement in a professional and competent manner;

NOW, THEREFORE, in consideration of the mutual covenants and promises contained herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows:

1. DEFINITIONS

In this Agreement, the following terms shall have the meanings ascribed to them below:
  • "Agreement" means this Home Care Agreement, including all schedules and attachments hereto, as may be amended from time to time in writing by the Parties.
  • "Care Recipient" means the individual receiving the Services under this Agreement. The Care Recipient may be the Client or a third party for whom the Client is legally responsible.
  • "Caregiver" means the individual or entity engaged to provide the Services.
  • "Client" means the individual or entity engaging and paying for the Services.
  • "Confidential Information" includes, but is not limited to, all personal, financial, and medical information related to the Care Recipient and the Client, as well as the terms of this Agreement.
  • "Effective Date" means _______, the date upon which this Agreement commences.
  • "Premises" means the primary location where Services will be provided, located at _______.
  • "Services" means the home care tasks and assistance to be provided by the Caregiver as detailed in Section 2 of this Agreement.

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2. SCOPE OF SERVICES

2.1 General Category of Care

The Caregiver shall provide services falling under the general category of: _______. The Parties acknowledge that the scope of services is strictly non-medical unless the Caregiver is a licensed medical professional and such services are explicitly agreed upon in a separate addendum.

2.2 Specific Duties and Responsibilities

The specific duties and responsibilities (the "Care Plan") to be performed by the Caregiver shall include, but are not limited to, the following:
_______

2.3 Prohibited Activities

For the safety of the Care Recipient and for liability purposes, the Caregiver is expressly prohibited from performing any of the following activities:
_______
The Caregiver shall not perform any tasks that require a professional license that the Caregiver does not possess, including but not limited to administering medications (unless specifically permitted by state law for the level of care provided), providing medical advice, or performing invasive procedures.

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3. TERM OF AGREEMENT

This Agreement shall commence on the Effective Date, _______, and shall continue in full force and effect on an ongoing basis, until terminated by either Party in accordance with the termination provisions herein.
This Agreement shall commence on the Effective Date, _______, and shall continue in full force and effect until _______ (the "Term"), unless terminated earlier in accordance with the provisions of this Agreement.

4. COMPENSATION AND PAYMENT

4.1 Service Rates

The Client agrees to pay the Caregiver for Services rendered at the standard rate of _______ (_______ {currency}) per hour.
Any hours worked in excess of forty (40) hours in a single workweek, or as otherwise defined by applicable state law, shall be compensated at an overtime rate of _______ (_______ {currency}) per hour.
Services performed on federal or state public holidays shall be compensated at a special rate of _______ (_______ {currency}) per hour.

4.2 Expense Reimbursement

If the Caregiver is required to use their personal vehicle to perform duties related to the Care Recipient's needs (e.g., errands, appointments), the Client shall reimburse the Caregiver for mileage at the rate of _______ (_______ {currency}) per mile. The Caregiver shall maintain and submit a detailed log of all such mileage for reimbursement.

4.3 Invoicing and Payment

The Caregiver shall submit a detailed invoice to the Client on a _______ basis. Each invoice shall itemize the dates, hours worked, services performed, and any reimbursable expenses incurred. Payment in full is due within _______ (_______) days of the Client's receipt of the invoice. Late payments may be subject to interest charges as permitted by law. Payment shall be made via the following methods: _______. Specific payment instructions are as follows: _______.

5. GOVERNING LAW

This Agreement and all matters arising out of or relating to this Agreement shall be governed by and construed in accordance with the laws of the State of _______, without regard to its conflict of law principles. __________________

SIGNATURES

IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first written above.

SERVICE PROVIDE:

Full Legal Name: _______

Registered address of service provide: _______

Signature: ___________________________     Date: ___________________________

 

CLIENT:

Full Legal Name: _______

Residential/Business address: _______

Signature: ___________________________     Date: ___________________________