Service Overview Acknowledgment

My Homecare & Services provides a Shared Support Service in assisted living communities. This service offers shared access to an on-site caregiver during designated hours to assist enrolled residents with brief, non-medical needs as they arise.

By enrolling, I acknowledge and understand that:

Services are shared among enrolled residents
Assistance is task-based and brief in duration
Individual service time is not guaranteed
This service does not replace personal homecare services
This is not an emergency response service

Service Hours

I acknowledge that service hours are currently:
7:00 a.m. – 3:00 p.m.

Daily Participation Fee & Enrollment Model

I understand that this is a shared-access service, not hourly care.

Enrollment begins at the $50 per day participation rate
Fees are based on total resident enrollment
As additional residents enroll, the daily fee per resident will decrease
Fees apply regardless of daily usage
Individual caregiver availability per resident may decrease as enrollment increases

  
      Number of Residents
      Daily Fee for Residents
    
      6–7
      $50
    
      8–9
      $38
    
      10–11
      $30
    
      12–15
      $25

Current Enrollment-Based Daily Fee Structure

Fees & Discontinuation

A $50 non-refundable registration fee is required and will be applied to service charges
Two (2) weeks’ written notice is required to discontinue participation

Important Limitations Acknowledgment

I understand that this service:

Is non-medical
Does not include nursing or medication administration
Does not provide continuous supervision
Is not an emergency response service

For emergencies, facility staff and emergency services will be contacted.