This form is a sample of an agreement between an elderly or disabled client and a Caregiver who operates as an independent contractor and provides personnel to assist Client to live at home and to have as much control over the home environment and life as possible under the circumstances. Caregiver's personnel also assist Client with the activities of daily living, scheduling medication, assistance with mobility, accompanying Client on errands and appointments, and such other services as agreed between Client and Caregiver.
In this agreement, Client waives damages for simple negligence of Caregiver, but not gross negligence or misconduct that is intentional or criminal in nature. Courts generally will not enforce waivers of this type of misconduct since such a waiver would be deemed to be against public policy because it would encourage dangerous and illegal behavior.
Care Caregiver Form Format In Bronx
Category:
State:
Multi-State
County:
Bronx
Control #:
US-00458BG
Format:
Word;
Rich Text
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FAQ
Emphasis on Role: “Caregiver” and “carer” emphasize the act of giving care, with a focus on the practical and emotional work involved. “Caretaker” suggests a more functional or managerial role, often with a broader focus on property or task management.
Understanding the New Caregiver Training Codes The HCPCS codes (G0541, G0542, G0543) introduced in 2025 focus on caregiver training and direct care strategies. Unlike CPT codes (97550, 97551, 97552), these new codes aim to better document services under Medicare guidelines without replacing existing codes.
In order to provide home health aide services in New York State, a person must successfully complete a HHATP or competency evaluation program conducted only by a NYSED or NYSDOH-approved HHATP.
The steps to become a caregiver in NY are having a high school diploma or equivalent, completing a caregiver training program, a background check, and additional certifications may be required by employers such as being a Certified Home Health Aide or Certified Personal Care Aide credentials.
The right to be trained in how to provide necessary care. The right to learn about the person's condition. The right to ask for help and set limits. The CARE Act requires that during a hospital stay, patients have the right to designate a caregiver who will help them after they are discharged.
The steps to become a caregiver in NY are having a high school diploma or equivalent, completing a caregiver training program, a background check, and additional certifications may be required by employers such as being a Certified Home Health Aide or Certified Personal Care Aide credentials.
○ I attest that I am the child(ren)'s legal guardian with financial responsibility for the child(ren). Please include a. copy of letter or order of guardianship. or. ○ I attest that I have legal custody for the child(ren) and I do not have financial responsibility for the child(ren)