Common Contracts
1 similar Home Care Agreement contracts
STATEMENT BY PRIVATE INDIVIDUAL HOME CARE PROVIDERHome Care Agreement • August 7th, 2019
The total monthly charge is $ __ paid by the Claimant for the personal care and assistance services I provide which include the following ADL’s: assistance and monitoring by home care Aides to ensure proper hygiene, bathing, grooming, dressing, toileting, incontinence care, medication management, meal preparation, cooking, laundry, housekeeping, ambulation assistance, and transportation services.
