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.
Application Caregiver Form With Two Points In Riverside
Category:
State:
Multi-State
County:
Riverside
Control #:
US-00458BG
Format:
Word;
Rich Text
Instant download
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FAQ
Personality Traits of a Good Caregiver Patience. People who need care often take longer to complete simple tasks. Compassion. Empathy and understanding are absolutely necessary. Humor. Being Present. Detail Oriented. Able to Accept Help. Willing to Set Boundaries. Cooperative.
To apply for IHSS over the phone, contact Riverside's HOME Call Center at (888) 960-4477. Phones are answered Monday – Friday from AM to PM Pacific time, excluding County holidays.
Who is it For: You must also be a California resident. You must have a Medi-Cal eligibility determination. You must live at home or an abode of your own choosing (acute care hospital, long-term care facilities, and licensed community care facilities are not considered "own home").
You can become a provider by attending an in-person provider orientation or by completing the provider orientation process online. After the orientation you will be required to visit an IHSS office to: Present your photo ID and Social Security card; Complete and return the required enrollment forms; and.
Such caregivers should avoid any role in the client's financial or legal matters unless specifically directed to do so. Activities that are prohibited include: The custody of the client's bank accounts or investments. And you are literally signing the legal paperwork for this person.
Apply for services or become a caregiver by calling the IHSS Home Line and Public Authority at (888) 960-4477. Click here to visit our Riverside IHSS website for specific IHSS support for clients and providers.
To become a caregiver in California, meet state requirements (work authorization, background check, good health), complete a Home Care Aide certification course and provide proof of vaccinations and a negative TB test.