Application Caregiver Form With Decimals In Fairfax

State:
Multi-State
County:
Fairfax
Control #:
US-00458BG
Format:
Word; 
Rich Text
Instant download

Description

The Application Caregiver Form with decimals in Fairfax serves as a formal agreement between a caregiver and a client to ensure clarity in the services provided. It outlines essential terms of employment, detailing the caregiver's responsibilities, such as assisting with daily living activities, managing medication schedules, and accompanying clients to appointments. Key features include the requirement for a mutually agreed-upon schedule, the possibility of termination with a two-week notice, and a stipulation for attorney fees in breaches of the agreement. The form asserts the independent contractor status of the caregiver, emphasizing that they do not represent the client in other matters. Users can easily fill out the form by specifying the caregiving hours and compensation, allowing for adjustments as needed. It is particularly beneficial for attorneys, partners, owners, associates, paralegals, and legal assistants, as it provides a clear structure for caregiver-client relationships while minimizing legal ambiguities. This form ensures that all parties are aware of their rights and obligations, promoting trust and professionalism in caregiving arrangements.
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  • Preview Personal Care Service Agreement - Caregiver for Elderly or Disabled - Consent
  • Preview Personal Care Service Agreement - Caregiver for Elderly or Disabled - Consent

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FAQ

How to Apply. If you think you could benefit from Medicaid, you can apply online at CommonHelp or contact the Enterprise Call Center at 1-833-522-5582. Language assistance is available. If you'd like more information, learn more about applying for Medicaid.

If you have experienced a qualifying event, please notify the Benefits Division at DHRBenefitsDivision@fairfaxcounty or (703) 324-3311.

The Department of Medical Assistance Services (DMAS) rebranded Virginia's Medicaid program as Cardinal Care.

Calling your case worker directly or calling the Customer Call Center at 703-324-7500, Monday–Friday, 8 a.m.– p.m.

Cover Virginia also operates a statewide customer service call center for Medicaid and the FAMIS Programs at 1-855-242-8282. The call center provides general program information, application status, explanation of coverage and benefits, and assistance in resolving application issues.

For example: If an eligible Veteran requires 10 hours of personal care services weekly (Tier 1) and the Caregiver's hourly wage (including COLA) is $10 per hour, then the monthly stipend would be: (10 hours x $10) x 4.35 = $435.

Fairfax County Clerk's Office The Clerk's Office is open from 8 A.M. to 4 P.M., Monday through Friday. It is located at 4110 Chain Bridge Road, Fairfax, VA, 22030. Email: The Clerk's Office answers email during normal business hours. You can email us at GDCMail@fairfaxcounty.

Contact us! 703-FAIRFAX (703-324-7329) (phone, email and social media) is a contact center for general questions from 8 a.m. to p.m., Monday to Friday.

You can also call our office at 703-222-8234, TTY 711 or send an email to DTAPPD@fairfaxcounty.

Virginia Caregiver Training Requirements Home Attendant/Home Health Aide: Must complete a state approved 40-hour curriculum or HHA program of 75 hours and 12 hours CE annually. Certified Nurse Assistants: After completing a state approved CNA school program, CNAs in Virginia must complete 12 hours of CE annually.

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Application Caregiver Form With Decimals In Fairfax