Caregiver Form Template With Name In Pima

State:
Multi-State
County:
Pima
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

Arizona Superior Court in Pima County. 110 West Congress Street. Tucson, AZ 85701.

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More info

This online referral form is to help connect families and individuals with Pima County Health services and programs. Online legal forms are useful for frequent, basic, and necessary tasks.The Caregiver Information Form is an optional form.

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Caregiver Form Template With Name In Pima