Caregiver Form For Elderly In Alameda

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

Description

The Caregiver form for elderly in Alameda is designed to formalize the arrangement between a caregiver and a client needing assistance. This agreement outlines the terms of employment, specifying services the caregiver will provide, such as support with daily living activities and medication management. Clients maintain control over their care schedule, with provisions for notifying changes in advance. Both parties can terminate the agreement with a two-week written notice. The form clarifies the caregiver's status as an independent contractor, ensuring no employer-employee relationship exists. It includes clauses regarding legal consultation and outlines responsibilities for attorney fees in case of disputes. This document is particularly useful for attorneys, partners, and paralegals as it sets a clear framework for caregiving arrangements, minimizing legal risks. Legal assistants might find value in its straightforward language and structure, facilitating easier client understanding and execution of the form.
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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

To be eligible for IHSS, an individual must be Medi-Cal eligible or must be receiving Supplemental Security Income (SSI) benefits. The IHSS program provides payment for non-medical in-home care for qualified individuals who are unable to remain safely in their homes without this assistance.

MY PHONE: Call 510-577-1800 weekdays from AM - 12 Noon or - PM. Once you dial, when prompted, press “1” for English and then “1” for applying for IHSS and “1” a third time to speak with an intake screener. 2. BY MAIL: Request an application to be mailed to client's home.

To become a caregiver in California, meet state requirements (work authorization, background check, good health), complete a Home Care Aide certification course and provide proof of vaccinations and a negative TB test.

To become a caregiver in California, meet state requirements (work authorization, background check, good health), complete a Home Care Aide certification course and provide proof of vaccinations and a negative TB test.

Under the law, you are ineligible to work in the IHSS program ONLY if you have been convicted within the last 10 years of: 1) fraud against a government health care or supportive services program; 2) child abuse; or 3) abuse of an elder or dependent adult.

Eligibility. To become an IHSS Provider, you must: Complete and sign all mandatory forms included in the IHSS Program Provider Enrollment Packet and return it to the County IHSS Office. Be fingerprinted and go through a criminal background check by the California Department of Justice (DOJ).

Submit a completed and signed Application for In-Home Supportive Services SOC 295 to: IHSSSOC295Apps@acgov.

To be eligible for IHSS, an individual must be Medi-Cal eligible or must be receiving Supplemental Security Income (SSI) benefits. The IHSS program provides payment for non-medical in-home care for qualified individuals who are unable to remain safely in their homes without this assistance.

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Caregiver Form For Elderly In Alameda