Client Service Agreement
NICCU STARS LIMITED
CLIENT SERVICE AGREEMENT
This Service Agreement ("Agreement") is made on __ day of __, 20 between:
NICCU STARS LIMITED ("the Agency")
and
Client's Name: ______________
Address: ________________
Phone Number: _____________
Next of Kin: _______________
This Agreement outlines the terms and conditions under which NICCU STARS LIMITED will provide non-medical caregiving services to the Client.
The Agency may provide one or more of the following services as agreed:
- Personal care assistance
- Companionship
- Meal planning and preparation
- Medication reminders (non-clinical)
- Light housekeeping
- Laundry
- Mobility and transfer assistance
- Hospital accompaniment
- Respite care
- Live-in or hourly caregiving
- Other: _____________
Start Date: ________
Days of Service: ______
Hours of Service: _______
Location of Service: ______________
The Client agrees to pay the Agency according to the agreed service package.
Service Fee: ?________
Payment Frequency: Weekly / Monthly / Other
Payment Due Date: ______
Payments should be made through the Agency's approved payment channels.
The Client and family agree to:
- Provide accurate information regarding the Client's health and care needs.
- Provide a safe working environment for the caregiver.
- Treat caregivers with dignity and respect.
- Notify the Agency promptly of any changes in the Client's condition or care requirements.
NICCU STARS LIMITED agrees to:
- Provide trained and screened caregivers.
- Maintain confidentiality of the Client's information.
- Supervise caregivers and monitor service quality.
- Respond promptly to complaints and emergencies within the scope of the services provided.
The Agency reserves the right to replace a caregiver when necessary due to illness, emergencies, resignation, performance concerns, or operational requirements. The Client may also request a replacement by providing reasonable grounds.
Either party may terminate this Agreement by giving __ days' written notice.
Immediate termination may occur in cases involving abuse, violence, non-payment, unsafe working conditions, fraud, or any serious breach of this Agreement.
NICCU STARS LIMITED provides non-medical caregiving services. Caregivers do not diagnose illnesses, prescribe medications, or perform medical procedures unless specifically authorized by law and the caregiver is professionally licensed to do so.
All personal and medical information obtained by the Agency shall be kept confidential except where disclosure is required by law or authorized by the Client.
Complaints should be reported to the Agency immediately. The Agency will investigate and provide appropriate feedback and resolution as quickly as practicable.
By signing below, both parties confirm that they have read, understood, and agree to the terms of this Agreement.
Name: _____________
Signature: ___________
Date: _____________
Name: _____________
Position: ___________
Signature: ___________
Date: _____________
Agency Stamp/Seal: _________