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 Application With Database In Palm Beach
Category:
State:
Multi-State
County:
Palm Beach
Control #:
US-00458BG
Format:
Word;
Rich Text
Instant download
Description
Free preview
Form popularity
More info
Persons may apply for a Home Caregiver ID Badge using the Self Service Application Portal. Enter your User Name.(The User Name is your Email Address). 10. Help fill out forms programs and help in Palm Beach, fl. Search 68 social services programs to assist you. You may renew your ID badge up to ninety (90) days before it expires. • Please bring previously issued Home Caregiver's ID badge with you (if it is expired). Caregiver support resources may include family members, friends, church members, neighbors, and others. West Palm Beach, FL 33407. The Licensing and Regulation section provides information relating to professional, facility, and permit licensing along with information on enforcement.