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.
Caregiver Form Template With Time In King
Category:
State:
Multi-State
County:
King
Control #:
US-00458BG
Format:
Word;
Rich Text
Instant download
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FAQ
What to Include in a Checklist for Caregivers Name of caregiver on duty. Date the checklist is being used. Name of patients. Patient's morning, afternoon, and evening routines, such as: Taking medication and vital signs. Eating food and drinking water. Housekeeping tasks to do. Changes in patient's condition, if any.
Self-Care for Caregivers Take time for yourself and your own needs. Eat a well-balanced diet. Exercise by taking short walks daily or at least three times a week. Listen to guided relaxation recordings or relaxing music. Schedule short rest periods between activities. Set limits for what you can do.
To request an increase in home care hours, participants first need to contact their insurance company's Service Coordinator. The Service Coordinator will help the participant complete a request for personal assistance services.
Here are options for personalizing your search for in-home care. Ask friends and neighbors who have employed caregivers for recommendations, names, phone numbers and hourly rates of those they found to be outstanding. Consult the community. Contact your Area Agency on Aging and ask for recommendations.
PLAN AHEAD: The first step in mastering caregiver scheduling is to create a master schedule. This plan should contain all necessary caring duties and the times they must be accomplished. If the person you care for needs medicine at 8 a.m., 12 p.m., and 8 p.m., those times should be mentioned in the master schedule.