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.

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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.  

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