Application Form For Caregiver In Washington

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

What are common caregiver qualifications? Having relevant work experience and skills. Completing any required training. Passing a background check and general health check. Earning basic health certifications. Meeting age requirements. Possessing a valid driver's license, insurance and a good driving record.

Education and examination Long-term care workers must complete 75 hours of training through a program approved by the Department of Social and Health Services, and must successfully pass the home care aide certification examination.

(3) A subject individual will be disqualified when their background contains a negative action, as defined in WAC 170-06-0020 that relates to: (a) An act, finding, determination, decision, or the commission of abuse or neglect of a child as defined in chapters 26.44 RCW and 388-15 WAC.

Home Care Aides (HCAs) also known as Long Term Care Workers (LTCWs) need 75 hours of training with a state approved training program, and they must take a state certification exam. They need to take 12 hours of training annually to retain their certification.

Isolation – Caregivers can often feel cut off from the outside world. So much time and energy is spent caring for someone else, caregivers often don't have time to take care of themselves. If you start to feel isolated, reach out to close friends and family to see if they are able to help.

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Application Form For Caregiver In Washington