A 4-page fee schedule for non-medical home care, from core hourly rates through premiums and a one-client estimate.

For a USA home care agency that wants a rate sheet separate from the service agreement. You get one editable Word file, plus 1 agency instructions page to remove before use.

What’s included

1. What the rates cover, what they leave out, the service area, and a non-medical scope note
2. Core service rates, visit-length tiers, and a shared-household discount
3. Time-of-day premiums, holidays, live-in and overnight, mileage, minimums, and cancellation rules
4. A client quote with a proposed week, estimate totals, and an acknowledgment
5. Agency instructions page, to remove before use

Add your logo and name

1. Open Word. Replace the Your Logo Here box on the rate sheet with your logo.
2. Put your agency name on the Agency Name line.
3. Put your address, phone, email, and website on the lines under it.
4. Delete the instructions page and save. Fill the quote page in Word for each client.

Editable templates for your agency to adapt. Not legal advice, not a license to operate, and not HIPAA software. This sheet is not the service agreement. Match the numbers and policies to your state rules before anyone signs.