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 Application Form With Insurance In Riverside
Category:
State:
Multi-State
County:
Riverside
Control #:
US-00458BG
Format:
Word;
Rich Text
Instant download
Description
Free preview
Form popularity
FAQ
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.
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.
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.
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.
Home Care Aides (HCA) need 5 hours of initial training and 5 hours of annual training in specific topics which CareAcademy offers. Certified Nursing Assistant (CNAs) need 48 hours of continuing education over 2 years, 24 hours can be obtained through an approved provider like CareAcademy (NAC provider number 7047).
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.
In conclusion, there are 4 types of caregivers: family caregivers, professional caregivers, volunteer caregivers, and informal caregivers. Each caregiver faces unique challenges, including physical and emotional exhaustion, financial strain, and balancing personal and caregiving responsibilities.