• LETTER OF AGREEMENT

    LETTER OF AGREEMENT

  • 1. Services Provided

    Comfort Home Care agrees to provide non-medical personal care services to the client, which may include but are not limited to:

    • Assistance with activities of daily living (bathing, dressing, grooming, toileting)
    • Light housekeeping and laundry
    • Meal planning and preparation
    • Medication reminders (non-clinical)
    • Companionship and supervision
    • Transportation to errands or appointments (see Section 5)

    All services are performed by trained and qualified caregivers.

    2. Rates and Payment

    • $30.00 per hour - Standard weekday rate (Monday-Friday, 8:00 a.m. to 6:00 p.m.)
    • $32.00 per hour - Evenings, weekends, and holidays
    • A two-hour minimum per scheduled visit

    Invoices will be sent weekly and are due upon receipt unless alternate arrangements are made in writing. Overdue balances may

    3. Cancellation and Rescheduling Policy

    Client agrees to provide at least 48 hours' notice to cancel or reschedule any scheduled visit.

    • Appointments canceled with less than 48 hours' notice will be billed in full.
    • Exceptions may be made in the case of emergency or hospitalization, at the Agency's discretion.

    4. Liability Waiver

    The Client acknowledges and agrees to the following:

    • Comfort Home Care provides non-medical assistance and does not offer clinical care or make medical decisions.
    • The Client is responsible for maintaining a safe and hazard-free home environment.
    • The Agency is not responsible for injury or illness occurring outside the scope of scheduled services.
    • Comfort Home Care and its employees are not liable for personal property damage, loss, or theft unless due to proven negligence.
    • The Client will inform the Agency of any known hazards, health concerns, or behavioral risks in the home.
    • Caregivers may assist with mobility, transfers, and transportation using reasonable caution; however, the Client assumes all risk
    • Clients requesting caregivers to drive their personal vehicle must provide written permission and proof of current vehicle insurance.
    • Comfort Home Care is not liable for adverse outcomes caused by following instructions provided directly by the client, family members,

    5. Transportation and Travel

    • With the Client's express permission, caregivers may drive the Client's vehicle to assist with errands, appointments, or other needs.
    • Provide written consent authorizing the caregiver to operate their vehicle.
    • Ensure the vehicle is insured, maintained, and safe to operate.
    • Hold Comfort Home Care harmless from liability for accidents, fines, or mechanical failure.

    6. Termination of Services

    This agreement may be terminated by either party with 7 days' written notice.

    Immediate termination may occur if:

    • The Client or household poses a safety or health risk to caregivers.
    • The Client fails to pay for services.
    • There is evidence of abuse, harassment, or inappropriate behavior.

    7. Emergency Protocols

    In the event of a medical emergency, caregivers will:

    • Contact emergency services (911) immediately.
    • Notify the Client’s emergency contact and Comfort Home Care management.

    Caregivers will not transport clients in emergency situations or administer medication.

    8. Client Responsibilities

    The Client agrees to:

    • Maintain a clean, safe, and respectful environment for caregivers.
    • Communicate schedule changes, concerns, and feedback clearly and promptly.
    • Provide access to necessary supplies and equipment for care.
    • Treat caregivers with dignity and respect at all times.
  • Client Acknowledgement

  • Powered by Jotform SignClear
  •  - -
  • Should be Empty: