Get Personal Care Agreement - Maine.gov

The Personal Care Agreement is an important document designed to outline the support services provided by a caregiver to an individual with disabilities or an elder. Filling out this form online can facilitate a clear understanding of the responsibilities and expectations for both parties involved.

Follow the steps to effectively complete the Personal Care Agreement online.

1. Press the ‘Get Form’ button to access the Personal Care Agreement form online. This will allow you to open it in an editable format.
2. Identify the parties involved in the Agreement. Fill in the names of the elder or adult with disabilities and the caregiver in the designated spaces provided.
3. Enter the date when the agreement will commence. This is crucial as it establishes when the caregiver's services will begin.
4. Specify the purpose by detailing how the caregiver will assist the elder or adult with disabilities with daily living activities to ensure they can remain at home.
5. List the services to be performed by the caregiver. Check all applicable boxes and provide specific details about each type of service, including transportation, meal preparation, and personal care tasks.
6. Outline the schedule for when the caregiver will provide services. Clearly indicate any specific days or times that the caregiver will be expected to fulfill their role.
7. Fill in the compensation details. Indicate the payment structure (hourly, daily, monthly) and any additional expenses to be covered, such as room and board if applicable.
8. Both parties should review all entered information for accuracy. Once confirmed, ensure that both the elder or adult with disabilities and the caregiver sign and date the agreement.
9. After completing all the steps, users can save changes, download, print, or share the completed Personal Care Agreement for further use.

Start filling out the Personal Care Agreement online today to establish vital support for your loved ones.