This agreement outlines the relationship, responsibilities, and expectations between Cedar & Iron and the Client (or their Authorized Representative).

SECTION 1: Parties

Client Name: __________________________________________

Address: ____________________________________________

Phone/Email: _________________________________________

Authorized Family Contact (if applicable):

Name: _______________________  Relationship: ______________

Phone/Email: ___________________________________________

SECTION 2: Purpose & Relationship

Cedar & Iron provides non-medical, high-trust personal support services designed to help older adults safely remain in their homes. Services are delivered under a subscription model and are based on presence, observation, emotional safety, and consistent relational support—not on tasks or hours.

SECTION 3: Subscription Plan

Select Plan:

☐ Peace – 1 visit/week

☐ Care – 1 visit/month + 3 check-in calls

☐ Legacy – 2 visits/week

Monthly Rate: $_____________

Start Date: _____________________

Visits Scheduled: By mutual agreement; typically AM/PM blocks

All subscriptions include:

• Annual subscription, billed monthly