top of page

COMPANION & HOMEMAKER SERVICE

Care Heart Ally provide seniors and family caregivers with trusted non-medical companion and homemaker staffing services and Our recruitment services assist you with connecting with compassionate Respite Providers, Personal Concierge Providers and Companion Homemaker Providers to provide you with home assistance.​

Service Agreement Contract
Booking Form

ATTENTION:

Companion and Homemaker Service Disclaimer: Please be advised that Care Hearts L.L.C and our independent contractors, including Companion Providers, Respite Providers, and Personal Concierge Providers, offer non-medical Companion and Homemaker services that are distinct from healthcare and home care agency services. Our dedicated providers over companionship, assistance with daily tasks, respite, concierge and NEMT transportation services. We do not perform any medical, health care duties or administer medications. For any health-related needs, we recommend seeking assistance from a licensed healthcare provider. We appreciate your understanding and strive to deliver supportive services tailored to assist you at home.

Please take note, Our Companion and Homemaker service offer essential support for daily living and companionship. Please be advised that these services do not include healthcare for chronic conditions requiring supervision from medical professionals.

We do not provide the following services, such as personal care services such as bathing, dressing, or toileting assistance, nor do we offer mobility support, medication administration, or wound care. Additionally, we cannot perform monitoring vital signs, injections, IV therapy, catheter care, or any invasive procedures, and we do not conduct medical assessments or diagnoses. Our focus is on companionship and assistance with everyday tasks, ensuring you receive the support you need.

Our Service Agreement is designed to clearly outline the terms and conditions of our services, ensuring a smooth and transparent relationship. By filling out the form below, you can easily customize the agreement to meet your specific needs. This serves as a reliable reference for both parties, promoting trust and accountability. Get started today to secure your service arrangement with confidence.

Service Agreement & Booking Form

NOTE:
Please complete the service agreement form below after you have finalized your consultation and agreed on the type of service, price quote, and schedule with the service provider. This ensures that all parties are aligned and helps ensure a smooth process moving forward. 

SERVICE AGREEMENT CONTRACT

Please review this agreement carefully, as it sets forth the understanding between you ("Client") and My Care Hearts LLC ("Service Provider") regarding the services you have requested and we will provide for you. If you have any questions, concerns or issues about the content of this Agreement please contact us for clarification before signing it.

Services provided for:
Type of Services:
Type of shift
Days of the week
Time of Day

("Client") on the terms and conditions set out below:

1. Term of Agreement. The term of this agreement will start on the Effective Date and will continue on an as-needed basis until the Agreement is terminated by either party, as provided hereunder.


2. Services Requested. We will provide the services ("Services") requested and agreed upon as set out in the Service Plan enclosed. The preferred day, time and duration of services will be mutually agreed upon by you and/or your representative and the Service Provider.


3. Rates, Fees & Deposits. We will provide the services at the rates set out in the current.


Companion Homemaker Provider, Respite Provider, Personal Concierge Provider Service Agreement.

bottom of page