Caregiver Form Application With Database In Harris

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

Description

The Caregiver Form Application with Database in Harris serves as a comprehensive agreement between a client and a caregiver, detailing the terms of employment and the specific assistance to be provided. Key features include the establishment of the caregiver's duties, such as aiding in daily living activities, managing medication schedules, and accompanying the client to appointments. The form also outlines the scheduling requirements, emphasizing the need for a 48-hour notice for any schedule changes, and provides provisions for termination by either party with a two-week notice. Additionally, it clarifies the independent contractor status of the caregiver, preventing any employer-employee implications. This form is critical for protecting both parties' rights by including clauses regarding negotiation freedom, attorney fees in case of a breach, and a release of liability for simple negligence. For attorneys, partners, and legal assistants, it offers a clear framework for drafting a caregiver agreement that adheres to legal standards. Paralegals and associates can efficiently utilize this form to assist clients in establishing caregiver arrangements while ensuring compliance with state laws and creating a reliable support system.
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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

The FPL varies based on household size: one person ($19,320), two people ($26,130), three people ($32,940), four people ($39,750), or five people ($46,560). If your household income exceeds 150% FPL, you can still receive medical treatment through Harris Health System but won't qualify for discounted services.

Anyone is eligible regardless of age, income, or immigration status. You must be a Harris County resident.

Provide: Texas I.D. or drivers license stating the person lives in Harris County. Social Security Card. Citizenship(Passport or Birth Certificate) or Green Card. Proof of income (1 months check stubs) Any bills or bank statement (within 60 days) Income tax (if necessary) Medicaid or CHIP card (if necessary)

What is the Harris Health Financial Assistance Program? The Harris Health Financial Assistance Program is a program that is available to Harris County residents whose gross family income, as it relates to family size, falls at or below at or below 150% of the Federal Poverty Level.

Harris Health Financial Assistance Program or the status of my application, is there a phone number to call? For questions call 713-566-6509 (Monday – Friday, 8am – 4pm) to speak to the Eligibility Call Center team member for any questions regarding the Harris Health Financial Assistance Program.

Applicant's household income must be below 200% of the federal poverty line (FPL) and reside in one of the identified high-poverty ZIP codes.

Program Overview In response, Harris County is investing $20.5 million from the American Rescue Plan Act (ARPA) to address economic inequity and reduce poverty. Uplift Harris, the county's first guaranteed income program, will distribute $500 per month for 18 months to eligible households.

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Caregiver Form Application With Database In Harris