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 Maryland
Instant download
Description
Free preview
Form popularity
FAQ
Qualifying medical conditions include cachexia, anorexia, wasting syndrome, severe or chronic pain, severe nausea, seizures, severe or persistent muscle spasms, glaucoma, post-traumatic stress disorder (PTSD), or another chronic medical condition which is severe and for which other treatments have been ineffective.
Caregiver Registration Details Once registered, a caregiver must obtain a valid MCA Caregiver ID Card and may serve a maximum of five (5) registered patients at one time.
The Maryland Commission on Caregiving was originally established in 2001 as the Maryland Caregivers Support Coordinating Council. The Council was charged with identifying the needs and challenges faced by informal family caregivers caring for those across the lifespan.
Obtaining the license Applicant must be 21 years or older. Applicant must submit a valid, US government-issued photo ID and a clear, recent photo. If the applicant is registering to be a caregiver for a registered minor patient, applicant must be a parent or legal guardian of the minor patient.
A caregiver provides assistance in meeting the daily needs of another person. Responsibilities may range from bathing, dressing, feeding, transportation, grocery shopping, housework, managing incontinence, assisting with mobility, preparing meals, dispensing medicines, and communicating with medical staff.
Becoming a certified caregiver in Maryland typically takes about 6 to 12 weeks. This timeframe includes completing a state-approved training program, which usually consists of around 75 hours of coursework followed by hands-on clinical experience. After training, passing the certification exam is the final step.
