Form For Caregiver In Riverside

State:
Multi-State
County:
Riverside
Control #:
US-00458BG
Format:
Word; 
Rich Text
Instant download

Description

The Form for Caregiver in Riverside is a service agreement between a caregiver and a client, establishing the terms of employment and the nature of assistance provided. This agreement outlines the responsibilities of the caregiver, including support with daily living activities, medication management, and mobility assistance. The form stipulates a schedule created collaboratively by both parties and requires 48 hours' notice for any changes. Termination of the agreement can occur by either party with two weeks' written notice. Additionally, it clarifies that the caregiver is an independent contractor, not an employee, and addresses the handling of breaches and legal fees. This document is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants as it provides a clear framework that can be customized to fit individual client needs, ensuring compliance with legal standards while protecting both the caregiver's and client's rights.
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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

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) .

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.

Apply for In-Home Supportive Services Gather important information. You will need your contact information, date of birth, social security number, and Medi-Cal number. Apply for IHSS. Turn in a completed IHSS application by email, fax, mail, or in-person. Home visit. Service approval. Hire provider(s).

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.

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.

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").

In Los Angeles County, you can apply by phone by calling (888) 944-IHSS (4477) or (213) 744-IHSS (4477) or complete the application SOC 295 - Application For In-Home Supportive Services, available at .

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.

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Form For Caregiver In Riverside