Payment Information

Caring Home Care offers the ability to pay for services using the following options:

  • Mastercard, Visa, American Express & Discover (please see credit authorization form)
  • Personal Check (payment must be made in advance)
  • Electronic Funds Transfer (please see EFT form)

For your convenience, forms relevant to initiating Home Care Service are available in Acrobat (PDF) format via the links below.

Credit Card Authorization Form

Request for and Consent to Assist with Self-Administration Of Medication by an Unlicensed Person

Patient Consent And Service Agreement

Automobile Waiver of Rights and Liability

   Guaranty of Payment Form