Dementia & Memory Care

Six editable Word templates for a USA non-medical home care agency, in one instant download. Support clients living with dementia with a matching set of non-medical forms: a service plan addendum, a personal story and preferences profile, a behavior and mood log, a wandering risk review, a caregiver communication guide and a family information sheet.

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 (6 templates, 7 Word files in one ZIP)

1. Dementia Service Plan Addendum (3 pages, Word)
2. My Story and Preferences Profile (3 pages, Word)
3. Behavior and Mood Observation Log (6 pages, Word)
4. Wandering Risk Review (3 pages, Word)
5. Caregiver Communication and Redirection Guide (4 pages, Word)
6. Family Dementia Information Sheet (3 pages, Word)

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

Who it’s for

• Non-medical home care agencies serving clients living with dementia
• Care coordinators writing dementia service plan add-ons
• Caregivers who need a simple communication and redirection guide
• Agencies sharing information with client families

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.