Caregiver Form Template With Time Slots In Virginia

State:
Multi-State
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

Self-Care for Caregivers Take time for yourself and your own needs. Eat a well-balanced diet. Exercise by taking short walks daily or at least three times a week. Listen to guided relaxation recordings or relaxing music. Schedule short rest periods between activities. Set limits for what you can do.

Virginia Caregiver Training Requirements Homemakers: Must complete 16 hours of topic specific training and 8 hours of CE annually. Home Attendant/Home Health Aide: Must complete a state approved 40-hour curriculum or HHA program of 75 hours and 12 hours CE annually.

Home Health Aides assist patients with daily activities, medication management, and emotional support, enhancing their quality of life at home. To become a Home Health Aide in Virginia, you need to complete a state-approved training program, pass a certification exam, and be listed on the Virginia Nurse Aide Registry.

Virginia Caregiver Training Requirements Home Attendant/Home Health Aide: Must complete a state approved 40-hour curriculum or HHA program of 75 hours and 12 hours CE annually. Certified Nurse Assistants: After completing a state approved CNA school program, CNAs in Virginia must complete 12 hours of CE annually.

Answer: In Virginia, nurse registries and homemaker/companion services do not require licensure. Question: How long does it take to get licensed? Answer: It can take up to 60 days from the date the initial application is received by the VDH/OLC Home Care Unit.

"Caregiver" means an adult who is a single person with a Virginia adjusted gross income of not more than $50,000, or married and the combined Virginia adjusted gross income of both spouses is not more than $75,000 who provides care for a mentally or physically impaired person within the Commonwealth.

A caregiver in the morning may assist with a daily routine — helping with bathing, dressing, putting on makeup, eating breakfast, and engaging in other daytime tasks. At night, a caregiver may assist with bedtime or simply be there to offer comfort and support.

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Caregiver Form Template With Time Slots In Virginia