Home Health Care Quote Template
Care plan hours, tasks covered, shift minimums and the nursing boundary. Free PDF, no sign-up.
Home care is quoted from an assessment, which is what makes the hourly rate a commitment rather than a guess: somebody has been to the house, met the client, and written a care plan that says how many hours and what happens in them. The document that follows has an unusual duty — it is read by an adult child making a decision under stress. It should be exact about the tasks a caregiver may perform, and honest about the ones that need a nurse.
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QUOTE
Issued
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Issued by
Willow Bend Home Care
310 Cocoanut Avenue 34236 Sarasota, FL United States care@willowbendhome.example |
Bill to
Family of Mr. Alastair Penhaligon
2145 Bayshore Road 34234 Sarasota, FL United States j.penhaligon@example.com |
| Description | Qty | Rate | Tax | Amount |
|---|---|---|---|---|
Personal care — weekday shifts Four hours each weekday morning, 20 hours a week; bathing, dressing, breakfast, mobility | 20 | $32.00 | — | $640.00 |
Weekend shifts Six hours Saturday and Sunday, 12 hours a week; same care plan plus outings | 12 | $35.50 | — | $426.00 |
Overnight cover — awake Two nights weekly, 10pm to 6am, 16 hours a week; caregiver awake throughout | 16 | $29.00 | — | $464.00 |
Care plan assessment and review Initial assessment plus a 30-day review with the family | 1 | $180.00 | — | $180.00 |
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What this quote commits you to
- How long it stands
- 30 days at the hourly rates for the care plan as assessed; a plan that changes before service starts is priced again.
- What it does not cover
- Skilled nursing tasks requiring an RN, medical supplies and equipment, transport in a caregiver's own vehicle, and live-in cover.
- What would change the price
- A change to the hours or to the level of assistance in the care plan, reviewed with the family before it takes effect.
- How the client accepts it
- Sign the service agreement and the care plan together; caregivers are matched to the household once both are back.
Edit this template Free, no account, no watermark — download the PDF when you are done.
When the work is done, invoice it
What to put on a home health care quote
- Hours per week and the shift pattern, with the minimum shift length stated
- The care plan summarised: personal care, mobility, meals, medication reminders
- The boundary — what needs a licensed nurse and is not included here
- Caregiver continuity: how many caregivers, and who covers absence
- Rates by shift type: weekday, weekend, overnight, live-in
- Holiday rates, named by date
- How the care plan is reviewed, and how a change to it changes the price
Questions
Why is there a minimum shift length?
Because a caregiver's travel and the agency's scheduling do not scale below it, and one-hour visits are how a rota becomes unstaffable. State the minimum on the quote; families accept it easily when it is explained as continuity rather than as a policy.
What is the difference between care and nursing on this document?
Medication reminders, bathing, dressing, meals and mobility are care. Wound care, injections and anything requiring clinical judgement are nursing, and a quote that blurs the line is promising a family something the caregiver is not permitted to do.
How should a rate increase be handled mid-engagement?
With notice written into the quote. Families budget carefully, and a change with thirty days' notice against a stated review point is very different from an increase that arrives on an invoice.
Is an elder care quote a different document?
No — this is one. The care plan, the shift minimum, the caregiver continuity and the line between care and nursing are what an elder care quote is made of, and the sample beside this text is exactly that: hours for an older person at home, priced from an assessment. Two things are worth adding when the need is memory care rather than physical assistance. Continuity stops being a preference and becomes part of the care, so name the caregivers and the cover rather than promising a rota; and say plainly whether overnight hours are awake or sleeping, because the two are different work at different rates and are the most common thing a family assumes the other way.
About the free quote generator
Is this quote generator really free?
Yes. There is no fee, no trial period and no watermark on the PDF. Nothing on this page requires a credit card.
What is the difference between a quote and an estimate?
A quote is a fixed price you are offering to hold, and it is binding on you once the client accepts it. An estimate is your best projection of the cost and can move if the job does. If the scope is not settled yet, send an estimate instead.
Is a quote legally binding?
Once a client accepts it within the period it stands, a quote generally forms a contract at that price — the details depend on your jurisdiction and on what the document itself says. That is why the price, the scope and the exclusions all belong in writing, and why the document prints the date the offer expires.
How long should a quote be valid until?
Thirty days is the common default, and two weeks is sensible when materials prices are moving. Whatever you choose, state it on the quote: an offer with no expiry is an offer you have made for ever.
Can I raise the price after the client accepts?
Not unilaterally, which is the point of quoting rather than estimating. What you can do is price the variations the client asks for afterwards, provided the quote said what was and was not included.
Do I need to create an account?
No. Fill in the form and download the PDF directly — there is no sign-up and no login for this tool.
Can the client accept the quote online?
Not from a downloaded PDF. Saving the quote to an account gives it a link the client opens and answers on, and the acceptance is recorded against the document rather than living in an email thread.
Can I use this for any currency or country?
Yes. Choose any currency and country for either party — the totals and formatting follow your selection.
Ready to send it?
The template opens in the free quote generator with these lines already on it. Change what you like, download the PDF.
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