Description

Stay organized and professional with this Home Health Care Activity Report Template — the perfect solution for caregivers, home health aides, or personal care assistants. This easy-to-use, fillable form helps document daily tasks, services provided, and hours worked for every client. It ensures accurate recordkeeping, transparency, and smooth communication between caregivers, agencies, and families.
Whether you’re an independent caregiver or managing a team, this editable template helps you stay compliant, efficient, and accountable.

✨ Key Features:
✍️ Editable & Fillable: Quickly customize fields using MS Word, and Google Docs
🖨️ Printable PDF: Ready to print
📏 US Letter & A4 Size: Choose from standard paper sizes for global compatibility.
📅 Weekly Log – Tracks 7 days of activities and time logs
📌 Service Checklist – Covers personal care, mobility, hygiene, meals & more
🕓 Shift Details Section – Document time in, out, and total hours
📝 Daily Signature Area – Signature lines for client & caregiver
💼 Professional Layout – Suitable for agencies, individuals & legal records
📤 Instant Download – Get access right after purchase
🌍 Use Anywhere – Compatible globally thanks to both size formats
💡 Reusable Format – Print unlimited copies or save digital records
🔒 Private & Secure – Great for HIPAA-compliant documentation

📦 What’s Included:
File 1 Editable Microsoft Word file “Home Health Care Activity Report Template” – US Letter Size
File 2 Editable Microsoft Word file “Home Health Care Activity Report Template” – A4 Size
File 3 PDF file “Home Health Care Activity Report Template” – US Letter Size
File 4 PDF file “Home Health Care Activity Report Template” – A4 Size

NOTE: “You can open and edit Microsoft Word files in Google Docs.”

NATURE OF PRODUCT
THIS IS A DIGITAL DOWNLOAD, NO PHYSICAL ITEM WILL BE SHIPPED.

TERMS OF USE
After Purchasing this file, you are allowed to use these files as many times as you want for your personal use, but you’re not allowed to re-sell, alter these images or claim these images as your own.

Refunds / Return
Due to the digital nature of this product, I cannot offer a refund or exchange on your purchase. However, if you have any problems with the download or files, please contact me here on Etsy and I’ll help to resolve it as quickly as possible!