Caregiver Form Sample With Name In Cuyahoga

State:
Multi-State
County:
Cuyahoga
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

The child named below lives in my home, I am 18 years of age or older, and I am the child's grandparent. 1. This booklet is meant to provide some basic information to you as you begin a guardianship with the Cuyahoga.County Probate Court. No information is available for this page. Form Number, Order Form, Form Name. To apply, eligible kinship caregivers need to fill out an application at their local public children service agency. Gather necessary information about the child and caregiver. 2. Complete the provider and service period details. 3. Org (click "Family. Supports").

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Caregiver Form Sample With Name In Cuyahoga