Caregiver Form Template For Elderly In Alameda

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

Description

The Caregiver form template for elderly in Alameda is designed to outline the terms of employment between a caregiver and a client who requires assistance. This comprehensive agreement details the scope of services to be provided by the caregiver, including help with daily living activities, medication management, and mobility assistance. It emphasizes the caregiver's role as an independent contractor and stipulates a flexible schedule that requires 48 hours' notice for any changes. The form also includes provisions for termination with a two-week written notice and addresses potential breaches by mandating the payment of reasonable attorney fees. Users, including attorneys, partners, and legal assistants, can utilize this form to ensure clarity and enforceability in caregiver-client relationships, protecting both parties' rights. It serves as a crucial tool for establishing formal arrangements while allowing for negotiation on terms. The straightforward language is accessible for users with varying legal expertise, making it a valuable resource in elder care planning.
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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

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 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.

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.

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).

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.

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

A Caregiver's Authorization Affidavit is an official form based on California's recognition that adults who have minors living with them are “caregivers” who often want and need to take some responsibility for the minor's education and other care.

In order to protect seniors from undue influence by their caregivers, California enacted the Care Custodian Statute under California Probate Code section 21350. This statute is designed to prevent financial elder abuse by making testamentary gifts to care custodians presumptively invalid.

Cal Fam Code § 6550 A caregiver who is a relative and who completes items 1-8 of the affidavit provided in Section 6552 and signs the affidavit shall have the same rights to authorize medical care and dental care for the minor that are given to guardians under Section 2353 of the Probate Code.

California Code, Family Code - FAM § 3083. In making an order of joint legal custody, the court shall specify the circumstances under which the consent of both parents is required to be obtained in order to exercise legal control of the child and the consequences of the failure to obtain mutual consent.

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Caregiver Form Template For Elderly In Alameda