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.
Application Caregiver Form With Decimals In Broward
Category:
State:
Multi-State
County:
Broward
Control #:
US-00458BG
Format:
Word;
Rich Text
Instant download
Description
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FAQ
Paper-Based Florida Caregiver Requirements You must be 18 or older. A high school diploma or its equivalent. Clear criminal background check. Clean DMV records and valid driver's license. Reliable car with valid insurance. Clear health check. Caregiver training/certification (optional)
Caregiver Support City of Miramar Adult Day Care. 8915 Miramar Parkway. Miramar, FL 33025. Northwest Focal Point Senior Center. 6009 NW 10 Street. Margate, FL 33063. West Regional Library. 8601 W Broward Blvd, Plantation, FL 33324. Broward County Elderly and Veterans Services. Thursdays - PM. 954-347-6622.