• Service Agreement

  •  - -
  •  - -
  • 1. Parties and Purpose
    This Service Agreement (“Agreement”) is entered into between Honey’s Helping Hand LLC (“Agency”) and the undersigned client or responsible party (“Client”) for the purpose of providing in-home care services as outlined herein.

    The Agency agrees to furnish qualified caregivers and/or licensed nursing staff to provide the level of service selected by the Client in accordance with Georgia Private Home Care Provider (PHCP) Rules and Regulations.


    2. Service Options and Rates
    The Client acknowledges that services and rates vary based on the type of care required. All services are billed according to the tier(s) selected below.

    A. Personal Care Services
    Includes, but is not limited to: assistance with bathing, grooming, dressing, toileting, mobility, medication reminders, light housekeeping, and meal preparation.

    Rates:

    • 20 hours or fewer per week → $35.00 per hour
    • 21 or more hours per week → $28.00 per hour
    • Couple services (combined, 21+ hours per week) → $50.00 per hour


    B. Companion / Sitter Services
    Includes companionship, conversation, meal assistance, light housekeeping, medication reminders, transportation to appointments, errands, and supervision.

    Rates:

    • Standard rate: $25.00 per hour
    • Extended visits (21+ hours per week): $22.00 per hour


    C. Skilled Nursing Services
    Includes licensed nurse visits for medication administration, wound care, vital sign monitoring, G-tube or trach care, and care plan development or review.

    Rates:

    • Skilled Nursing Visit (per assignment): $150.00 per visit
    • Specialized or extended nursing assignments may be billed at an adjusted rate depending on case complexity.


    3. Scheduling and Hours of Service
    Services shall be provided at the days and times mutually agreed upon between the Client and Agency.
    The Client understands that the Agency reserves the right to adjust caregiver assignments or schedules as needed to ensure continuity of care.

    RN supervisory visits shall occur in accordance with state regulations (typically every 60, 90, and 120 days, or as clinically indicated).


    4. Payment Terms

    • Services are billed weekly, based on hours or visits completed.
    • No sales tax applies to home care services.
    • Invoices are due upon receipt. A $25 late fee will apply to balances more than 7 days past due.
    • Accepted payment methods include Zelle, ACH, check, or credit/debit card (processing fees may apply).
    • Returned payments may result in service suspension until the balance is resolved.


    5. Cancellation and Missed Visits
    Clients are required to provide a minimum of 24 hours’ notice to cancel a scheduled visit.
    Visits canceled with less than 24 hours’ notice may incur a charge equal to 2 hours of service or the per-visit rate, whichever applies.


    6. Changes in Client Condition
    Client or family must promptly notify the Agency of any significant change in health status, medication, or environment that may affect care delivery.
    Agency staff will adjust the care plan as appropriate.


    7. Termination of Services
    Either party may terminate this Agreement at any time with seven (7) days’ written notice.
    The Agency reserves the right to immediately discontinue services if:

    • Client fails to pay invoices in a timely manner;
    • Caregivers encounter unsafe or hostile conditions; or
    • Continued service violates state or federal law.


    8. Confidentiality and HIPAA Compliance
    Honey’s Helping Hand LLC complies with all HIPAA regulations to protect the Client’s privacy.
    All personal, medical, and financial information shall remain confidential and used solely for the purpose of care coordination.


    9. Non-Solicitation Agreement
    The Client agrees not to employ, contract, or solicit services directly from any Agency caregiver or nurse for a period of one (1) year following the last date of service without written consent from the Agency.
    Violation of this clause may result in a liquidated damages fee equal to $2,500 or 150 hours of billed service, whichever is greater.


    10. Governing Law
    This Agreement shall be governed by and construed in accordance with the laws of the State of Georgia.


    11. Acknowledgment and Authorization
    By signing below, the Client acknowledges that they have read and understood this Agreement and have received a copy of their Client Rights and Responsibilities.

  • Powered by Jotform SignClear
  • For additional information, questions, or complaints related to Honey's Helping Hands LLC, you may contact us directly at 404-779-2377 or email us

     

    For additional information, questions, or complaints regarding licensed providers, you may contact
    the Georgia Department of Community Health’s Healthcare Facility Regulation Division (HFRD):
    Phone: Call HFRD
    Mailing Address: 2 Peachtree Street NW, 33rd Floor, Atlanta, GA 30303-3142
    Website: https://dch.georgia.gov/divisionsoffices/hfrd

  • Should be Empty: