{"product_id":"home-care-client-assessment-template","title":"24-Page Home Care Client Assessment Template","description":"\u003ch2\u003eStart every new client relationship with a clearer picture of the person and the support they need.\u003c\/h2\u003e\n\u003cp\u003e\u003cstrong\u003eCreated by Danielle, an experienced non-medical home care business owner, not AI.\u003c\/strong\u003e This practical, editable assessment helps your agency gather client information in one organized place before services begin.\u003c\/p\u003e\n\u003cp\u003eGet a detailed \u003cstrong\u003e24-page Microsoft Word (.DOCX) home care client assessment\u003c\/strong\u003e, including the cover page. Use it as a starting point for your intake and service-planning process, then tailor the questions and branding to your agency.\u003c\/p\u003e\n\u003ch2\u003eWhat the assessment helps you document\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eClient, family, authorized representative and emergency contact information\u003c\/li\u003e\n\u003cli\u003eLiving situation, communication, routines, preferences and social activities\u003c\/li\u003e\n\u003cli\u003eAssistance needs with personal care, meals, mobility, transfers and household tasks\u003c\/li\u003e\n\u003cli\u003eHome safety, accessibility, equipment and fall-risk considerations\u003c\/li\u003e\n\u003cli\u003eMedication reminders and medical or emergency information provided by the client or family\u003c\/li\u003e\n\u003cli\u003eConsent, transportation needs and signature areas\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eMany daily-living sections include selections for \u003cstrong\u003eno assistance, some assistance or full assistance\u003c\/strong\u003e, with room to record additional details. The result is a more consistent way to capture what a client can do independently, where support may be needed, and what caregivers should know about the client’s preferences.\u003c\/p\u003e\n\u003ch2\u003eWhat you’ll receive\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eOne editable Microsoft Word document (.DOCX)\u003c\/li\u003e\n\u003cli\u003e24 pages total, including a cover page with space for your agency name, address and logo\u003c\/li\u003e\n\u003cli\u003eA digital product; no physical item will be shipped\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEdit the wording, add or remove sections, and adapt the form to your agency’s process. Creating a detailed assessment from scratch takes time; this template gives you an organized foundation to customize.\u003c\/p\u003e\n\u003ch2\u003eDesigned for non-medical home care\u003c\/h2\u003e\n\u003cp\u003eSuitable as a customizable administrative tool for non-medical home care, personal care, companion care and private-pay agencies. It is \u003cstrong\u003enot a clinical assessment\u003c\/strong\u003e and does not replace evaluations or documentation required from a licensed healthcare professional. Requirements vary, so review and adapt the template for your agency’s services and applicable rules. The purchaser is responsible for determining whether additional documentation is needed.\u003c\/p\u003e\n\u003ch2\u003eBuild out your agency toolkit\u003c\/h2\u003e\n\u003cp\u003eNeed more than an assessment form? \u003ca href=\"https:\/\/shop.wisecaregiving.com\/\" title=\"Explore Wise Caregiving resources\"\u003eExplore the Complete Home Care Business Bundle and other Wise Caregiving resources\u003c\/a\u003e.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eCustomize it. Brand it. Make it your agency’s own.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e© Wise Caregiving®. For purchaser use only. Do not resell, share or redistribute the template.\u003c\/p\u003e","brand":"Wisecaregiving","offers":[{"title":"Default Title","offer_id":45331290063078,"sku":"","price":15.0,"currency_code":"CAD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0615\/6186\/4422\/files\/Non_Medical_Home_Care_Assessment-Wise_Caregiving_2.png?v=1790787204","url":"https:\/\/shop.wisecaregiving.com\/products\/home-care-client-assessment-template","provider":"Wise Caregiving","version":"1.0","type":"link"}