Caregiver Form Template For Adults In Middlesex

State:
Multi-State
County:
Middlesex
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.
Free preview
  • Preview Personal Care Service Agreement - Caregiver for Elderly or Disabled - Consent
  • Preview Personal Care Service Agreement - Caregiver for Elderly or Disabled - Consent

Form popularity

More info

This booklet is intended to be a guide, and includes information regarding guardianship procedures, what forms to file, and duties of guardians. This manual does not include guidance about Medicaid Long-term Services and.Supports (LTSS) screenings. Home Care Services may be available to Middlesex County residents who meet eligibility requirements for various state and County programs. The Child Care and Early Years Service System Plan (service system plan) will serve as the roadmap for the next four years. Complete the juror qualification questionnaire before submitting a request to be excused.

Trusted and secure by over 3 million people of the world’s leading companies

Caregiver Form Template For Adults In Middlesex