In-Home Care Agreement

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

In-Home Care Agreement

This In-Home Care Agreement (hereafter referred to as 'Agreement') is made and entered into on this {{day}} day of {{month}}, {{year}}, by and between:

**Care Recipient:**

Name: {{care_recipient_name}}

Address: {{care_recipient_address}}

Contact Number: {{care_recipient_phone}}

Email: {{care_recipient_email}}

Hereafter referred to as 'Client'.

AND

**Care Provider:**

Name of Individual/Agency: {{care_provider_name}}

Address: {{care_provider_address}}

Contact Number: {{care_provider_phone}}

Email: {{care_provider_email}}

Hereafter referred to as 'Provider'.

Purpose of Agreement

This Agreement sets forth the terms and conditions under which the Provider will render non-medical in-home care services to the Client at the Client's residence or an agreed-upon location. The aim is to ensure the Client's well-being, comfort, and safety while maintaining their independence to the extent possible.

Scope of Services

The Provider agrees to provide the following services to the Client, as detailed in the attached Care Plan (Appendix A), which forms an integral part of this Agreement:

1. **Personal Care:** Assistance with activities of daily living (ADLs) including, but not limited to, bathing, dressing, grooming, toileting, and mobility.

2. **Homemaking:** Light housekeeping, laundry, meal preparation, and grocery shopping.

3. **Companionship:** Engaging in conversation, recreational activities, and providing supervision.

4. **Medication Reminders:** Reminding the Client to take prescribed medication at the appropriate times. The Provider is not authorised to administer medication.

5. **Transportation:** Transportation services for appointments, errands, and social outings, as agreed upon.

6. **Other Services:** Any additional services mutually agreed upon by both parties and documented in Appendix A.

Schedule of Services

Services will be provided on a {{frequency}} basis, specifically {{days_of_week}}, from {{start_time}} to {{end_time}}. Any changes to this schedule must be mutually agreed upon in advance by both the Client (or their authorised representative) and the Provider, and documented in writing.

Fees and Payment Terms

The Client agrees to pay the Provider a fee of {{hourly_rate}} per hour / {{daily_rate}} per day / {{weekly_rate}} per week for the services rendered. Payment terms are as follows:

1. **Invoicing:** Invoices will be issued {{invoicing_frequency}} (e.g., weekly, bi-weekly, monthly) on {{invoice_day}}.

2. **Due Date:** Payment is due within {{payment_due_days}} days from the date of the invoice.

3. **Payment Method:** Payments shall be made via {{payment_method}} (e.g., bank transfer, EFT, cheque) to the Provider’s nominated account.

4. **Late Payments:** A late payment fee of {{late_payment_fee_percentage}}% per annum, or the maximum allowable by law, will be applied to overdue amounts.

5. **Additional Costs:** Any agreed-upon additional costs, such as mileage for transportation at {{mileage_rate}} per kilometre, will be billed separately.

Term and Termination

1. **Term:** This Agreement shall commence on {{start_date}} and shall continue until terminated by either party in accordance with this Section.

2. **Termination by Notice:** Either party may terminate this Agreement by providing {{notice_period_days}} days' written notice to the other party.

3. **Immediate Termination:** The Provider reserves the right to terminate this Agreement immediately if the Client's behaviour poses a risk to the safety or well-being of the Provider, or in the event of non-payment of services.

4. **Client Termination:** The Client may terminate this Agreement immediately for gross misconduct or negligence on the part of the Provider.

5. **Outstanding Payments:** Upon termination, all outstanding payments for services rendered up to the termination date shall be immediately due and payable.

Confidentiality

The Provider agrees to maintain the strictest confidentiality regarding all information pertaining to the Client, their health, personal circumstances, and home environment. This obligation of confidentiality shall survive the termination of this Agreement.

Insurance and Liability

The Provider confirms that they carry appropriate public liability insurance to cover the services provided under this Agreement. Proof of insurance can be provided upon request. The Provider shall not be liable for any loss or damage to the Client's property unless caused by the Provider's gross negligence or willful misconduct.

Governing Law and Dispute Resolution

This Agreement shall be governed by and construed in accordance with the laws of {{country_of_jurisdiction}}.

Any dispute arising out of or in connection with this Agreement shall first be resolved through good faith negotiations between the parties. If an amicable resolution cannot be reached, the dispute shall be submitted to mediation in accordance with the rules of {{mediation_body}} before resorting to litigation.

Entire Agreement

This Agreement, including Appendix A (Care Plan), constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior discussions, negotiations, and agreements, whether oral or written.

Signature Block

IN WITNESS WHEREOF, the parties hereto have executed this In-Home Care Agreement as of the date first written above.

**Care Recipient / Authorised Representative:**

______________________________________

Name: {{care_recipient_name}}

Date: {{signature_date}}

**Care Provider:**

______________________________________

Name: {{care_provider_name}}

Title: {{care_provider_title}}

Date: {{signature_date}}