INC#: WC00-00000 QT#: 00-00000AD

This agreement entered into by and between the health care service provider, WeCare Private Duty Nurses & Caregivers, a group of health care professionals, with postal address at Blk 81 Lot 4 Garnet St., Eastborough Place Subd., Mahabang Parang, Angono, Rizal, represented by its Authorized Representative and Chief Coordinator, Mr. Floro J. Batin, Filipino, of legal age, and the Patient/Patient’s Relative, Mr. John Doe, Filipino, of legal age, with postal address at ____, representing the patient, Ms. Jane D. Doe, currently admitted at The Medical City hospital.

WeCare Private Duty Nurses & Caregivers desires to provide Philippine Registered Nurse/Caregiver to the Patient/Patient’s Relative which likewise desires to avail the former’s healthcare services, has come to agree on the following Terms and Conditions, as follows:

A. WeCare Private Duty Nurses & Caregivers shall ensure that the Private Duty Nurse/Caregiver assigned to the Patient shall:

1. Perform all standards of ethics of a Registered Nurse/Caregiver.
2. Perform nursing care through the utilization of standard nursing processes.
3. Perform all nursing services to everyone who needed health care services regardless of status in life, gender, sexual orientation, religion or political affinity, whether in a hospital setting or in a house setting.

B. Responsibilities of the Patient/Patient’s Relative

1. Pay directly to WeCare Private Duty Nurses & Caregivers, through its Authorized Representative and Chief Coordinator, Mr. Floro J. Batin, for the agreed professional fees of a Private Duty Nurse of THREE THOUSAND TWO HUNDRED pesos (PhP 3,200) per twelve (12) hours-shift, VAT Exclusive, Net of Senior, PWD or Student Discounts, for Non-Covid Patient, In Hospital, Stay In or Stay Out. (PhP 6,000/shift for Covid (+) patient). The professional fees shall be deposited to the nominated bank account of WeCare PDN&CG every MONDAY &/or THURSDAY of the week, bank details as follows;
   
   We practice Paperless and Cashless Transactions only.
   • Bank: Bank of the Phil. Islands (BPI) -------- : Bank: BDO
   • Account Number: -- 4029 0435 02 ---- : Acct. No.: 0114 4020 2158
   • Account Name: ---- Floro J. Batin ----- : Acct. Name: Floro J. Batin
2. Pay the professional fees in full amount for a day’s duty, and for any fraction of time in a shift thereof shall be considered as one full shift, or if the Patient/Patient’s Relative sent home the healthcare service provider for any other reason. Duty shifts are 6AM-6PM & 6PM-6AM.
3. Pay the health care service Practitioner an additional fifty percent (50%) for every additional patient in the house or hospital cases, provided that the patients are in the same or adjacent rooms.

INC#: WC00-00000 QT#: 00-00000AD

4. Provide free full meals and snacks, it can be arranged with the hospital, or give PhP 300/shift; give ample time for meals and coffee breaks.
5. Pay transportation allowance of 300 Pesos per shift to the Practitioner if Stay Out or for Home Care in Metro Manila, or actual Land, Air, or Sea expenses for outside Metro Manila.
6. Pay additional 50% on declared Philippine Holidays.
7. Provide free swab testing to the health care Practitioner if the Patient/Patient’s Relative and/or the Doctor requires a Negative RT PCR or Antigen Test Result.
8. If the healthcare Practitioner acquired an infection in the workplace, the Patient/Patient’s Relative shall compensate the health care service Practitioner with 2,000 pesos per day during the quarantine period. This provision is applicable to patients with communicable diseases only.
9. Provide free PPE’s to the Health Care Service Practitioner handling Covid-19 and non Covid patients, or whenever required.
10. Not to negotiate professional fees, or hire directly the healthcare service practitioner (PDN or Caregiver).

C. Effectivity and Termination

1. This agreement shall take effect on YYYY-MM-DD and shall continue to be effective until YYYY-MM-DD and shall automatically be renewed from week to week under the same terms and conditions and without need of formally executing a new agreement, except if one party provides a notice of non-renewal or pre-termination to the other party at least one week prior to the date of intended termination. Either party may immediately terminate this agreement should the other party violate the provisions of this agreement and the other party fails to remedy the breach within the inclusive week from the receipt of written or verbal notice of breach.

D. Miscellaneous Provisions:

1. There is no Employer-Employee relationship in this agreement between Private Duty Nurse/Caregiver or WeCare Private Duty Nurses & Caregivers and the Patient/Patient’s Relative.
2. This agreement is based largely on mutual trust and confidence. The parties here to agree to carry out to this agreement in a fair and cooperative spirit for their mutual benefit. Any dispute, difference or disagreement arising between the Parties, including determination of breach and determination of appropriate penalty for the culpable party, shall first be resolved amicably.