Caregiver Form Template With Name In Bronx

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

Description

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.
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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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More info

This comprehensive form allows seniors and their families to outline specific medical, living, and end-of-life preferences. Help fill out forms programs and help in Bronx, ny.Search 121 social services programs to assist you. Access Amazing Home Care forms to streamline your care management. Find all necessary documents in one place for easy processing. Forms for Child Care Programs and Providers. Note: All forms are in PDF format. (Attach additional sheets, if necessary). Complete this form as soon as possible and before the 30 day arrangement ends. Montefiore Medical Group.

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Caregiver Form Template With Name In Bronx