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01 · Cover Page1 / 6
Page 1 of 6: Cover Page

Home Health Care Contract Template

Prepared For:

Sarah Mitchell

Mitchell & Co.

Created By:

Daniel Reyes

Acme Climate Co.

02 · Purpose of Agreement2 / 6
Page 2 of 6: Purpose of Agreement

Purpose of Agreement

This Agreement sets forth the terms under which Acme Climate Co. will provide home health care services to Sarah in their place of residence. The goal is to maintain the Client’s dignity, safety, and quality of life while supporting daily living activities.

This Home Health Care Services Agreement (“Agreement”) is made on 9 Nov 2026 , between:

Client (or Authorized Representative):

  • Name: Sarah Mitchell

  • DOB: [ClientDateOfBirth]

  • Address: 22 Wattle Rd, Paddington QLD 4064

  • Mobile: 0423 456 789

  • Email: sarah@mitchellco.com.au

  • Emergency Contact: [Name | Relationship | Phone]

Service Provider:

  • Name: Acme Climate Co.

  • ABN / Business ID: [CompanyABN]

  • Address: 14 Banksia St

  • Mobile: 07 3123 4567

  • Email: daniel@acmeclimate.com.au

  • Representative: Daniel Reyes

The Provider agrees to deliver non-medical, in-home care services to support the Client’s daily living and comfort. These services may include (but are not limited to):

  • Personal Care: Bathing, grooming, toileting, dressing

  • Mobility Assistance: Transfers, walking, positioning

  • Meal Prep & Nutrition: Meal planning, cooking, feeding

  • Medication Support: Reminders only (non-clinical)

  • Household Assistance: Cleaning, laundry, dishes, garbage removal

  • Companionship & Emotional Support

  • Errands & Transportation: Appointments, shopping, prescriptions

03 · Schedule of Services3 / 6
Page 3 of 6: Schedule of Services

Schedule of Services

Commencement Date: [Start Date]

Nominal Duration: Until [End Date] or until terminated

Weekly Schedule:

Day

Time

Monday

[e.g. 9:00 am – 1:00 pm]

Tuesday

[e.g. 9:00 am – 1:00 pm]

Wednesday

[e.g. 9:00 am – 1:00 pm]

Thrusday

[e.g. 9:00 am – 1:00 pm]

Friday

[e.g. 9:00 am – 1:00 pm]

Total Weekly Hours: [#] hours

Assigned Caregivers: [Names, if known]

The Provider may modify the schedule with [48 hours]’ notice, subject to agreement.

Compensation & Payment Terms

  • Hourly Rate: $[Rate] per hour

  • Holiday/Weekend Rate: $[Rate] per hour, if applicable

  • Overtime Rate: $[Rate] after [X] hrs/day

  • Travel Fee: $Amount per visit / included

  • Billing Cycle: [Weekly, Fornightly, or Monthly]

  • Payment Due: Within [X] days of invoice issue

  • Accepted Methods: [Bank Transfer, Credit Card, NDIS Plan]

  • Late Fee: [X]% per week on overdue balances

Invoices will detail dates, caregivers, hours, and total charges.

04 · Cancellation & Non-Compliance4 / 6
Page 4 of 6: Cancellation & Non-Compliance

Cancellation & Non-Compliance

  • Notice Requirement: Minimum [24 hours]

  • Client Cancellation Fee: $[Flat Fee] or [1–2 hr] minimum charge

  • Provider Cancellation: With rescheduling or alternative caregiver

  • No‑Show by Client: Full rate for scheduled hours applies

Responsibilities & Standards

Provider's Obligations:

  • Deliver services with care, respect, and professionalism

  • Conduct caregivers with adequate training, first aid certification, and background checks

  • Notify Client of any changes or concerns

  • Maintain confidentiality of all Client information

  • Carry valid insurance and comply with laws and regulations (NDIS/Aged Care standards, where applicable)


Client's Obligations:

  • Provide a safe, clean environment

  • Share accurate medical and personal information

  • Respect caregiver’s time and conduct

  • Notify Provider of hazards or changes (e.g., medical updates, pets, smoking)

  • Pay invoices promptly

Confidentiality & Privacy

All personal, medical, and financial data shared by the Client will remain confidential in alignment with the Privacy Act 1988. Only disclosed if legally required or authorized in writing.

05 · Insurance & Accreditation5 / 6
Page 5 of 6: Insurance & Accreditation

Insurance & Accreditation

The Provider confirms it has:

  • Workers’ Compensation insurance covering its staff

  • Public Liability and Professional Indemnity insurance

  • Caregivers vetted by police check and trained to first aid standards

  • NDIS/Aged Care accreditation where applicable

Liability & Indemnity

  • Provider is not responsible for medical treatment outcomes.

  • Client indemnifies Provider for claims arising from false information provided.

  • Provider’s liability is limited to the total fees paid in the last 3 months, or as permitted by law.

Amendments

Any change to this Agreement such as schedule adjustments, rate changes, or service scope must be recorded in writing and signed by both parties.

Termination Clause

  • Either party can terminate with 7 days’ written notice.

  • Immediate termination occurs if:

    • Caregiver is endangered

    • Payments are overdue by more than 14 days

    • There is a breach of confidentiality or abuse of caregiver

Upon termination, any outstanding fees become due and payable within 7 days.

Governing Law & Dispute Resolution

This Agreement is governed by the laws of QLD , Brisbane . Disputes will be resolved in the appropriate court or through mediation/arbitration before litigation.

06 · Acknowledgement & Signatures6 / 6
Page 6 of 6: Acknowledgement & Signatures

Acknowledgement & Signatures

By signing below, both parties acknowledge they understand and agree to the terms outlined.

Signed by:

Client / Representative

Name: Sarah Mitchell

Signed by:

Provider / Representative

Name: Daniel Reyes

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About this template

How this contract works

This template is designed to formalise agreements between home health care providers and their clients. It outlines the scope of services, caregiver responsibilities, scheduling, payment terms, and confidentiality provisions. Ideal for ensuring clear communication and legal protection, the template helps establish a professional and trusted relationship between care providers and recipients. The 6 pages cover Cover Page, Purpose of Agreement, Schedule of Services, Cancellation & Non-Compliance, Insurance & Accreditation and Acknowledgement & Signatures. Start from this contract, add your logo, prices and terms, then send it as a live link your client signs online.

Questions

Before you start

Is this home health care contract template free?

Yes. Start a free 14-day QuoteCloud trial, no credit card needed, and the template opens ready to edit with your company details and logo.

Can clients sign it online?

Yes. The template has e-signature fields, so clients sign from any device and you are notified the moment they do.

Can I change the branding and sections?

Everything is editable: colours, fonts, images, page order and every section of text.

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