Description of Long-Term Care / Roommate Agreement for Patient Care:This agreement establishes a living arrangement for long-term care patients who prefer a private, residential home environment rather than entering an assisted living facility. The caregiver, Virginia, will provide attended care, including medical assistance, personal support, meals and daily living services, within the comfort and safety of a private home. This arrangement is ideal for patients who seek a secure, home-like setting while receiving the necessary care. Payment for services will be made through the patient’s long-term care insurance/Private Pay or other agreed-upon methods. This agreement ensures that the patient’s health, comfort, and well-being are prioritized in a more personalized living environment. Any out-of-pocket costs will be the difference between the total fee of $ and the insurance coverage."