Personal Care Agreement Example

When it comes to personal care, it is essential to have a clear and concise agreement between the caregiver and the care recipient. This agreement is commonly known as a personal care agreement. It outlines the services, responsibilities, and fees associated with personal care.

If you are in need of a personal care agreement, here is an example to help get you started:

Agreement for Personal Care Services

This agreement is made on [date] between [caregiver name] (hereinafter referred to as “Caregiver”) and [care recipient name] (hereinafter referred to as “Recipient”).

Services:

Caregiver agrees to provide personal care services to Recipient, including but not limited to:

– Assistance with bathing

– Dressing and grooming

– Toileting and incontinence care

– Mobility assistance

– Meal preparation and feeding

– Medication reminders

Responsibilities:

Caregiver agrees to perform the services outlined in this agreement with reasonable skill and care. Caregiver will also:

– Respect the privacy and dignity of Recipient

– Report any changes in Recipient`s condition to appropriate parties

– Be punctual and reliable in providing care

– Maintain a safe environment for Recipient

Recipient agrees to:

– Provide a safe and hazard-free environment for Caregiver

– Pay the agreed-upon fees for services rendered

– Provide accurate and complete information regarding their medical history and current condition

Fees:

The fee for personal care services will be [$] per hour, with a minimum of [hours] per day.

Payment for services will be due on a [weekly/monthly/yearly] basis and will be made to Caregiver [method of payment].

This agreement may be terminated by either party with [notice period] days` notice. If terminated by Recipient without cause, Recipient will be responsible for payment of services rendered up until the date of termination.

This agreement constitutes the entire agreement between the parties and may not be modified or amended except in writing signed by both parties.

By signing below, both parties acknowledge and agree to the terms of this personal care agreement.

Caregiver`s Signature: _______________________

Recipient`s Signature: _______________________

Date: _______________________

In conclusion, having a personal care agreement in place can help ensure that both the caregiver and care recipient are aware of their responsibilities, the services that will be provided, and the associated costs. It is essential to have a clear and concise agreement that outlines all the necessary information to avoid any confusion or misunderstandings in the future. Use the above example as a template and customize it to suit your specific needs.

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