Caregiver Form Template With Drop Down List In Massachusetts

State:
Multi-State
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

Supportive Home Care Aide (SHCA) need 87 hours of initial training some of which CareAcademy can offer. Certified Nursing Assistant (CNAs) need 48 hours of continuing education over 2 years, 24 hours can be obtained through an approved provider like CareAcademy (NAC provider number 7047).

Kinship Caregiver Affidavit (pdf)- one per student It commonly refers to relatives raising children who are not in foster care. A kinship caregiver is authorized to enroll a child in school by completing a Kinship Caregiver Affidavit.

It is for individuals age 60+ and those who are under 60 with an Alzheimer's Disease or related disease diagnosis. This also includes individuals who may not be eligible for MassHealth but require varying levels of assistance with daily living tasks. Monthly co-payments may apply depending on income.

As explained by the Massachusetts Department of Elementary and Secondary Education, a caregiver authorization affidavit is a legal document that “creates a simple mechanism to clarify decision-making relating to education and health care in situations where minor children are living with an adult other than their ...

Home Health Aide Training: In Massachusetts, anyone planning to work for a state approved Home Health Agency must have their HHA certificate. All students who successfully pass this course will receive their HHA certificate, which never expires. You will always be able to work as a Home Health Aide.

Here are the most widely seen 4 types of caregivers: Professional caregivers. Those who are trained, certified, and employed to provide care services are known as professional caregivers. Family caregivers. Volunteer caregivers. Informal caregivers.

To work in Massachusetts, Home Health Aides (HHAs) must complete 75 hours of initial training (including 16 hours of practicum experience). In addition, HHAs must undergo supervised training and complete several assessments. Before securing a job as an HHA, you must pass a background check and drug test.

A guardian is different from a caregiver because when a child has a caregiver, either the caregiver or the parent can make decisions for the child. When a child has a guardian, only the guardian, not the parent, can make decisions.

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Caregiver Form Template With Drop Down List In Massachusetts