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 Sample With Name In Montgomery
Category:
State:
Multi-State
County:
Montgomery
Control #:
US-00458BG
Format:
Word;
Rich Text
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FAQ
How to become a caregiver Evaluate whether being a caregiver suits you. Determine whether offering care to vulnerable people is right for you. Obtain education and training. Seek a part-time role or apprenticeship. Gain experience. Develop care skills. Find a caregiver role.
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.
Maryland's Community First Choice program is an option through Medicaid that allows for certain family members to get hired and compensated as the family caregiver. Services may include assistance with daily living activities such as bathing, eating, dressing, mobility, etc.
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.