Dementia & Memory Care Bundle for Home Care Agency | 6 Editable Word Templates | Service Plan Addendum, Behavior Log

Dementia & Memory Care Bundle for U.S. non-medical home care agencies: 6 editable templates in one instant download.

Support clients living with dementia with a matching set of non-medical forms: a service plan addendum, a personal story and preferences profile, a behavior and mood log, a wandering risk review, a caregiver communication guide and a family information sheet.

WHAT'S INCLUDED (6 templates; 7 Word .docx files in one ZIP):

1. Dementia Service Plan Addendum (3 pages, Word). File: dm-01-dementia-service-plan-addendum.docx
2. My Story and Preferences Profile (3 pages, Word). File: dm-02-my-story-and-preferences-profile.docx
3. Behavior and Mood Observation Log (6 pages, Word). File: dm-03-behavior-mood-observation-log.docx
4. Wandering Risk Review (3 pages, Word). File: dm-04-wandering-risk-review.docx
5. Caregiver Communication and Redirection Guide (4 pages, Word). File: dm-05-caregiver-communication-redirection-guide.docx
6. Family Dementia Information Sheet (3 pages, Word). File: dm-06-family-dementia-information-sheet.docx

PLUS: Agency Instructions (dm-00-agency-instructions.docx), a setup guide for the whole set. Remove before use.

WHO IT IS FOR:

• Non-medical home care agencies serving clients living with dementia
• Care coordinators writing dementia service plan add-ons
• Caregivers who need a simple communication and redirection guide
• Agencies sharing information with client families

HOW TO CUSTOMIZE:

1. Unzip the download and open each file in Microsoft Word.
2. Use Home > Replace > Replace All (Ctrl+H) to change [Agency Name] and [State] to your own details. This also reaches the page headers.
3. Fill in the blank lines with your own policies, contacts and choices, and check every state-specific item against your state rules.
4. Add your logo if you want one, save your master copies, and print or share as needed.

Some lines cross-reference policy numbers from a companion Policy & Procedure Manual (sold separately); edit them to match your own policies.

INSTANT DOWNLOAD: This is a digital product. No physical item will be shipped. After purchase, download the ZIP from your Payhip library or the link in your confirmation email. Works best in Microsoft Word; Google Docs and LibreOffice can open the files, but some layout may shift.

DISCLAIMER: These are customizable templates, not legal advice. Rules differ by state, so check each template against your state rules and have a qualified professional review it before use. Using these templates does not guarantee that your agency meets any law, licensing survey or standard. Not a license to operate and not state-approved. For personal and business use by the buyer; please do not resell or share the files.