At Home Disclosure Agreement

Our Non-Medical Home Care is designed to supplement the services of the primary doctor or guardian, etc. We provide companionship and help for the elderly, or for anyone who is afflicted with one or more faculty impairments. We provide assistance to you and the extended family in your routine daily needs or those of your loved one(s).

We are not a medical organization. The medical or professional qualifications of any of our representatives or referred caregivers who will provide you with assistance is strictly incidental to their activities as our referees and/or representatives. We make no recommendations or instructions concerning diagnosis, prognosis, treatment, medication, dosage, or prescriptions or other medical or health related services. That is where our expertise ends.

At your directions, we shall cook meals on site or do whatever preparatory work you feel is necessary in our capacity as a homemaker, companion or helper.

Our relationship is based on mutual good faith. You are representing to us that you have the requisite knowledge and authority to instruct us as to the needs of the care recipient. We shall make our continuing best efforts to meet those needs.

In good faith, you, individually, on behalf of the family and the care recipient, release NAN’S HOUSE from the responsibility for any and all injuries and illnesses, whether or not due to errors or omissions of NAN”S HOUSE or its representatives that may regrettably come to the care recipient. You agree to maintain homeowners insurance, medical insurance and/or other insurance as may be necessary to provide protection for the care recipient.