Caregiver Contract

5.99$

DETAILS

Caregiver Contract Template — created by an occupational therapist to make caregiving clear and professional.

This 2-page caregiver agreement helps you set expectations, outline services, and protect both families and caregivers. Great for elder care, home health support, senior care, and personal caregiving arrangements.

  • 2-page caregiver agreement
  • Printable PDF in US Letter, A4 & A5
  • Editable Canva template for customization
  • Instant digital download
  • Caregiver & Client Details – names, addresses, and care information
  • Scope of Services – personal care, meals, medication reminders, transportation, housekeeping, companionship, exercise, “other” option
  • Schedule & Hours – days of the week, times, and total hours per week
  • Compensation & Payment – pay rate, payment method, reimbursement options
  • Client Responsibilities – safe environment, supplies, accurate health information
  • Confidentiality & Privacy – clear protection of personal and health information
  • Liability & Insurance – caregiver responsibility statement
  • Termination & Emergency Procedures – notice requirements, immediate termination clauses, 911/emergency contact steps
  • Signature Page – caregiver and client sign to finalize agreement
  • Sets clear expectations for caregivers and families
  • Reduces conflict by outlining responsibilities and payment in writing
  • Provides protection and peace of mind
  • Saves time with a professional, OT-designed template you can print or edit right away
  • Purchase – Secure checkout via Etsy
  • Download – Instant file access after purchase
  • Customize – Fill in using Canva or print the PDF to write by hand
  • Sign & Share – Both parties sign to complete the agreement

After completing the checkout process and making a successful payment, you will be automatically redirected to the product’s PDF download page. From there, you can easily download the file with a single click.

Inside the PDF, you will also find the Canva access link for the product.

  • Family caregivers at home
  • Elder care & dementia support
  • Senior care providers and agencies
  • Home health professionals & therapists
  • Anyone who wants clear, written care agreements

WHY MADE FOR FUNCTION

I’m Madison, an occupational therapist (home health, geriatrics, neuro, chronic illness). I’ve seen firsthand how much smoother caregiving goes when expectations are clear and organized. Made for Function exists to give caregivers and families simple, professional tools that reduce overwhelm, promote clarity, and support quality of care.

Add A Review

Reviews

There are no reviews yet.

Be the first to review “Caregiver Contract”

Our Customers Reviews

LICENSE & NOTES:

  • Personal use only; digital download (no physical item)
  • Files included as printable PDF (Letter, A4, A5) and editable Canva link
  • Informational tool only — not legal or medical advice; consult with professionals as needed

More Tools You’ll Love:

Pair it with my Caregiver Planner for complete caregiving organization → https://madeforfunction.etsy.com/listing/4367957894/caregiver-planner-printable-pdf-daily
Explore my free printable tools at subscribepage.io/madeforfunctionfreebie Supporting health, care, and daily life through OT-designed resources.  

Our Trendy Products

1
ADHD Brain Dump Templates Printable PDF & Canva Template — created by a licensed occupational therapist...
13.99$ USD 
1 (1)
Medication Tracker + Log Bundle — designed by a licensed occupational therapist to make tracking prescriptions,...
8.99$ USD 
1
ADHD Digital Planner Undated, iPad GoodNotes & Notability Hyperlinked Planner — created by a licensed...
13.99$ USD 
1
Visual Chore Chart for Kids Printable PDF Created by a licensed occupational therapist to support responsibility,...
8.99$ USD 
1
Blood Pressure Log Printable PDF, created by a licensed occupational therapist to make home health tracking...
3.99$ USD 
1
Editable Visual Schedule Cards + Charts — Created by a Licensed Occupational Therapist Structure routines,...
8.99$ USD 
1
Children’s Health Planner Printable, Pediatric Medical Organizer, Child Health Log, Symptom Tracker,...
13.99$ USD 
1
Long COVID & Chronic Illness Health Planner — printable and editable toolkit designed by a licensed...
13.99$ USD 
1
POTS Syndrome & Dysautonomia Planner — printable and editable toolkit designed by a licensed occupational...
13.99$ USD 
1
Digital Medical Planner, Health Planner Goodnotes, Chronic Illness Medical Planner, Caregiver Organizer,...
13.99$ USD 
1
Medical Binder Printable, Chronic Illness Medical Planner, Medical Log, Symptom Tracker, Editable Health...
13.99$ USD 
1 (1)
Medication Log Printable PDF — created by a licensed occupational therapist to make medication management...
3.99$ USD