Caregiver Form Application With Va In Houston

State:
Multi-State
City:
Houston
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

Need Help? To assist you with enrolling in these programs, contact your local VA facility CSP Team/Caregiver Support Team, or call the VA Caregiver Support Line(CSL) at 1-855-260-3274. Subscribe to receive email updates and information about VA Caregiver Support Program services.

Metrics you should know: As of the end of June, the CSP receives roughly 6,100 applications every month, with an average national approval rate of 29%, and 98% of applications dispositioned within 90 days of receipt.

You can now do many form-based tasks online, like filing a disability claim and applying for the GI Bill or VA health care. We'll walk you through the process step-by-step.

Eligibility Requirements 1 Be at least 18 years of age. Someone who lives with the eligible Veteran full-time or will do so if designated as a Family Caregiver. caregiver education and training. the ability to carry out the specific personal care services, core competencies, and additional care requirements.

Caregiver Support Program (CSP) The program's mission is to promote the health and well-being of family caregivers who care for our Nation's Veterans, through education, resources, support, and services. Find Your Local Caregiver Support Team located at every VA facility .

Call the Caregiver Support Line at 855-260-3274 ( TTY: 711 ) and ask for help filling out the form. Find a Caregiver Support Team Coordinator at your nearest VA health facility. Go to our Caregiver Support Program Teams directory. Get help from an accredited representative, like a Veterans Service Organization (VSO).

Eligibility Requirements For you to be eligible to be a Family Caregiver you must: 1 Be at least 18 years of age. Someone who lives with the eligible Veteran full-time or will do so if designated as a Family Caregiver. caregiver education and training.

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Caregiver Form Application With Va In Houston