Washington State Home Care Agency Welcome New Client Letter Template

WHAT'S INCLUDED — WELCOME NEW CLIENT LETTER TEMPLATE: PROFESSIONAL LETTERHEAD SECTION — Agency name, address, city, WA ZIP code — Phone and fax numbers — DOH License number field — Form date field PERSONALIZED GREETING — Date field and client name field — Warm welcome message from agency WELCOME PACKET CHECKLIST — 10 ESSENTIAL DOCUMENTS: 1. Client Bill of Rights — Rights under WAC 246-335-435 2. Service Agreement — Terms and conditions of care 3. Plan of Care — Individualized service plan 4. Fee Schedule — Rates and payment information 5. HIPAA Notice of Privacy Practices — Health information protections 6. PHI Consent Form — Information sharing authorization 7. Emergency Contact Form — Critical contacts and medical info 8. Agency Information Sheet — Hours, contact numbers, and services 9. Client Rights and Responsibilities Agreement 10. Acknowledgment of Receipt — Packet confirmation CAREGIVER & SUPERVISOR ASSIGNMENT FIELDS — Assigned caregiver name and start date — Supervisor of direct care services name and phone COMPLIANCE & CONTACT INFORMATION — DOH complaint filing numbers (360-236-4700 / 800-633-6828) — Language assistance and interpreter services notice — Title VI Civil Rights Act and WAC 246-335-420(6) reference ADMINISTRATOR SIGNATURE BLOCK — Administrator name, title, agency name — Phone, email, and website fields FORMAT: 2-page professional letter template COMPLIANCE: RCW 70.127, WAC 246-335, WAC 246-335-435, WAC 246-335-420(6) FORMATS: PDF (print-ready) + DOCX (editable in Microsoft Word)