Emergency Preparedness

Eight editable Word templates for a USA non-medical home care agency, in one instant download. Write, test and review your agency emergency plan with one matching set: an all-hazards plan, coordinator designation, client priority list, client discussion form, call-down tree, drill report, annual review log and supply checklist.

Every file is an editable Microsoft Word (.docx) document. This is a Word-only download: no PDF, Excel, or Canva files are included. You can also open the files in Google Docs or LibreOffice; some layout may shift slightly.

What’s included (8 templates, 9 Word files in one ZIP)

  1. All-Hazards Emergency Plan (6 pages, Word)
  2. Disaster Coordinator and Alternate Designation (2 pages, Word)
  3. Client Emergency Priority List (4 pages, Word)
  4. Client Emergency Plan Discussion and Acknowledgment (2 pages, Word)
  5. Continuity of Operations and Call-Down Tree (3 pages, Word)
  6. Emergency Drill and Plan Activation Report (4 pages, Word)
  7. Annual Plan Review and Test Log (3 pages, Word)
  8. Emergency Supply Checklist (3 pages, Word)

Plus an Agency Instructions guide for the whole set. Remove it before use.

Who it’s for

  • Home care agency owners writing or updating an emergency plan
  • Administrators and disaster coordinators
  • Agencies that run yearly drills and plan reviews
  • Office staff who keep client priority and call-down lists

How it works

  1. Purchase and instantly download one ZIP file with all the documents.
  2. Open each file in Microsoft Word.
  3. Use Replace All (Ctrl+H) to change [Agency Name] and [State] to your own details.
  4. Fill in the blank lines with your own policies, contacts and choices, then save, print or share as needed.

Please note

  • This is a digital download. No physical item will be shipped.
  • These are customizable templates, not legal advice, and are not a license to operate or state-approved. They do not guarantee that your agency meets any law, licensing survey or standard.
  • State rules vary. Check every state-specific item against your state requirements and have a qualified professional review the templates before use.
  • Some lines cross-reference policy numbers from a companion Policy & Procedure Manual (sold separately); edit them to match your own policies.
Emergency Preparedness

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Buy Now – $24

Instant download via Payhip · Editable Word (.docx) · Secure checkout