Parties
Identify the client, legal representative or guardian, and the caregiver or agency using full legal names and contact details for each party.
A well-drafted Home Care Agreement reduces disputes, clarifies payment and scope of care, and documents consent and decision authority. It helps families, agencies, and independent caregivers align expectations and comply with payroll, tax, and health-privacy obligations.
The Home Care Agreement is used by families, independent caregivers, home care agencies, and case managers to formalize care arrangements and obligations.
Use this agreement when formalizing private-pay care, structuring agency services, or documenting arrangements tied to insurance, Medicaid waivers, or managed care authorizations.
Identify the client, legal representative or guardian, and the caregiver or agency using full legal names and contact details for each party.
List specific tasks provided (personal care, medication reminders, meal prep, transportation), frequency, and any services expressly excluded from the agreement.
Specify start date, regular hours, on-call expectations, and the physical address where services will be delivered.
State hourly or flat rates, invoicing cadence, payment methods, overtime rules, and who covers payroll taxes or benefits.
Detail handling of protected health information, any HIPAA addenda, record retention, and consent for information sharing.
Explain notice requirements, immediate-termination causes, final accounting, and transitional care obligations upon ending services.
| Field | Configuration |
|---|---|
| Template Name | Name the template for reuse across clients. |
| Signer Roles | Assign roles: Client, Legal Rep, Caregiver, Witness (if required). |
| Conditional Fields | Show fields only when specific options are selected, e.g., agency vs independent caregiver. |
| Authentication Level | Set email or SMS, or stronger methods for identity verification. |
Choose a platform that supports secure eSigning, audit trails, and integrations with your record systems.
Enter the start date (MM/DD/YYYY); services begin on or after this date.
Care often begins within 24–72 hours after signatures and verification.
Weekly or biweekly billing is common; specify invoice due dates.
A 14–30 day notice is typical for non-emergency termination clauses.
Annual rechecks and immunization updates are commonly required.
Agree on services, hours, and rates before preparing the final draft.
Signatures, identity verification, and background checks complete before first shift.
Provide client-specific care plans, medication lists, and emergency contacts.
Reassess care needs and rates every 30–90 days as required.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day trial | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |