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 Form For Caregiver In Riverside
Category:
State:
Multi-State
County:
Riverside
Control #:
US-00458BG
Format:
Word;
Rich Text
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FAQ
Of those who do get approved, it can take anywhere from two weeks to several months to finally receive benefits. This is due to the meticulous amount of paperwork involved, as well as the process of the case worker assessment, background check, and other procedures.
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 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.
You are blind, live with a disability or are 65 years of age or older. You must live at home in Santa Clara County. You must have Medi-Cal. Apply for Medi-Cal.
How to Become an IHSS Provider Go to an IHSS Provider Orientation given by the county. Complete, sign and return the IHSS Program Provider Enrollment Form (SOC 426) directly to the County IHSS Office or IHSS Public Authority. Complete and sign the IHSS Provider Enrollment Agreement (SOC 846) .
Go to an IHSS Provider Orientation given by the county. Here you will learn important information about the program and the requirements for you to follow as a provider. Complete, sign and return the IHSS Program Provider Enrollment Form (SOC 426) directly to the County IHSS Office or IHSS Public Authority.
Qualifications of a Caregiver A valid driver's license. Bilingual in a language spoken in your region. CPR certification. CNA certification. Ability to pass a background check. Ability to assist with ADLs (assisting with eating, toileting, bathing, dressing)
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.