A 3-page weekly visit schedule written for the client and their family, not for the office file.

For a small USA non-medical home care agency to send before the week starts. You get one editable Word file.

What’s included

1. Page 1: schedule details, the care coordinator’s contact line, and that week’s visit calendar, with which visits are confirmed, pending, or cancelled, plus backup coverage and planned hours
2. Page 2: what to expect, with services planned this week, visit-day reminders, and a spot for household notes
3. Page 3: who to call, what to do about a late arrival or no-show, how to cancel or change a visit, and an acknowledgment

Add your logo and name

1. Open the Word file and put your logo in the Agency Logo box above the schedule.
2. Replace Agency Name with the name families should recognize.
3. Replace the address, office phone, and email, and fill the after-hours line if you publish one.
4. Save, then print the schedule or send a copy to the household.

Editable template for your agency to adapt. Not legal advice, not a license to operate, and not HIPAA software. This schedule is not a care plan or a contract. Match the contacts and cancellation rules to your state and your client agreement.