Caregiver Form Template For Adults In Phoenix

State:
Multi-State
City:
Phoenix
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

Description: The Caregiver training course is approved by the Arizona Board of Nursing Care Institution Administrators and Assisted Living Managers (NCIA) and is 62 training hours in length. If successfully completed, the student may take the State Certification exam to become a Certified Caregiver.

Here's a comparison of caregiver costs in Phoenix, AZ to both state and national rates LocationStarting rate (avg)Max rate (avg) Phoenix, AZ $21.75/hr $30.22/hr Arizona $21.16/hr $29.10/hr United States $20.53/hr $28.94/hr

In Arizona, our caregivers are certified with a “Direct Care Worker” certification overseen by the state AHCCCS program. In Colorado, our caregivers meet the state requirements for experience and must pass a hands-on care assessment before coming onto the team.

Certification Requirements in Arizona Be at least 18 years old. Possess a high school diploma or GED. Complete a caregiver training program approved by the DHS. Pass a written competency exam. Obtain a fingerprint clearance card from the Arizona Department of Public Safety (DPS)

As a national accrediting and certifying organization, the American Caregiver Association is an excellent choice when selecting a training program. Its National Caregiver Certification Course is the most popular of its offerings and covers behavior management, personal care, and other core topics.

To work as a certified caregiver in Arizona, you must meet the following requirements: Be at least 18 years old. Possess a high school diploma or GED. Complete a caregiver training program approved by the DHS. Pass a written competency exam.

The purpose of the Caregiver Assessment Tool (CAT) is to gain an understanding of the Caregiver, the Caregiver's perspective of the caregiving relationship, and the Caregiver's needs. The questions in the CAT facilitate a rapport between the Care Manager and the Caregiver.

While everyone's needs are unique, a checklist can help ensure the caregiving family member does everything necessary to ensure the safety and well-being of their loved one.

What to Include in a Checklist for Caregivers Name of caregiver on duty. Date the checklist is being used. Name of patients. Patient's morning, afternoon, and evening routines, such as: Taking medication and vital signs. Eating food and drinking water. Housekeeping tasks to do. Changes in patient's condition, if any.

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Caregiver Form Template For Adults In Phoenix