Non Medical Home Care Service Agreement Template – US

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Disclaimer

The content provided is intended solely as a general example for informational purposes related to agreements for in-home personal care services not requiring medical licensing. It does not constitute legal advice and should not be relied upon as a substitute for consulting a qualified attorney specializing in healthcare or contractual law. Laws and regulations may vary depending on the jurisdiction, and adjustments may be required to ensure compliance with local requirements. The use of this example is the sole responsibility of the user, and we assume no liability for any errors, omissions, or consequences arising from its use without professional review.


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Please note: This is a sample Non-Medical Home Care Service Agreement template, provided for illustrative purposes only. Actual terms may differ based on specific arrangements and applicable regulations.

Non-Medical Home Care Service Agreement Sample

Parties Involved:

Care Provider: Sunshine Home Care Services LLC
Address: 123 Wellness Ave, Denver, CO 80202

Client: John Doe
Address: 456 Maple Street, Denver, CO 80203

Service Description:

The care provider agrees to deliver non-medical home care services, including assistance with activities of daily living, companionship, and mobility support, at the client’s residence located at 456 Maple Street, Denver, CO 80203, as detailed in the service plan.

Payment Terms:

The client shall pay a fee of $25 per hour for services rendered, payable bi-weekly or as specified herein.

Provider Responsibilities:

The provider commits to delivering quality, compassionate non-medical care, maintaining confidentiality, and adhering to all applicable state and federal regulations.

Governing Law:

This agreement shall be governed by the laws of the State of Colorado. Disputes shall be resolved within the jurisdiction of Denver courts.

Additional Provisions:

  • Both parties agree to maintain clear communication regarding the scope of services and schedule.
  • Any amendments to this agreement must be made in writing and signed by both parties.
  • Payment is due upon receipt of invoice, and late payments may incur additional fees.

Denver, ______________________

________________________
Sunshine Home Care Services LLC (Provider)
________________________
John Doe (Client)