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Care Facility Information for Caregiver Template

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Care Facility Information for Caregiver Template


Quick guide to staff names and important information in and around the senior residence

Fill out this care residence information sheet template for each senior client to gather information in their place of residence.  Send to care team assigned to the care mandate for efficient access to important information. Your caregivers will enter the clients residence with confidence.


You can enter the information digitally then print and put into a plastic slip cover, and place in a well seen area of your clients room. This is great overview of the senior's living environment so that the proper care can be delivered to the client safely and effectively.

This template residence information template is perfect for a:


Home Care Company/Agency Provider
 Care Service/Attendant
Volunteer Group
Private/Independent Caregiver/Companion


How can this template help?


Get to know the care team staff

Provide more effective care in a short period of time

Quick access to staff information

Helps to make informed decisions quickly

Good communication




✔️ Master File-Unlimited Use!



✔️ Fill out form digitally/manually

✔️ Send electronically

✔️ Printable 🖨️


How to add your logo instructions included!

📥 Download, save master copies and start using the forms immediately!

★Templates designed by Danielle, an experienced home care business owner, for non-medical home care. Danielle's templates draw on her firsthand knowledge of working with clients, families, care facilities, trustees, curators and medical professionals.
★Templates facilitate non-medical home care business owners in achieving organization, expansion, and security.
★Templates offered in the Wise Caregiving Shop MAY NOT BE RESOLD, reproduced, provided freely, sent electronically, or exploited for profit in any manner. Legal action will be taken.
★Once products have been downloaded from Wise Caregiving Shop, all sales are considered final.
★This shop is equipped with professional IT support for technical issues.