Application Caregiver Form With Decimals In Contra Costa

State:
Multi-State
County:
Contra Costa
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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FAQ

Orientation locations: 1275 A Hall Ave. 4549 Delta Fair Blvd. You will be instructed as to what date, time and location you are to attend. If you are unable to attend your scheduled orientation please call (925) 363-6680 to reschedule.

10 The California Department of Social Services estimated over 550,000 IHSS providers in 2021.

The maximum amount of IHSS hours an individual can get is 283 hours per month. These programs are: Personal Care Services Program (PCSP) Community First Choice Option (CFCO)

How to Become an IHSS Provider Go to an IHSS Provider Orientation given by the county. Complete, sign and return the IHSS Program Provider Enrollment Form (SOC 426) directly to the County IHSS Office or IHSS Public Authority. Complete and sign the IHSS Provider Enrollment Agreement (SOC 846) .

As others have said, yes you can go on vacation or whatever you need to. Once your sister gets added, I'd recommend having ``open'' hours or IHSS is going to want assigned hours for each provider.

Yes you can, if the trip overseas is less than 30 days. You are still providing care even though it may not be ``in home.''

Provide Medical Diagnoses or Treatments IHSS providers are not authorized to diagnose or treat medical conditions. They should not: Diagnose Illnesses: Providers cannot make medical diagnoses or give medical advice.

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Application Caregiver Form With Decimals In Contra Costa