Caregiver Form Sample With Name 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

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.

Washington State requires 75 hours of basic training for all licensed caregivers. After you complete training, you need to pass your Washington State exam. To start the process, you can use the Home Care Aide Certification Application Packet published by the Department of Health to get a DSHS applicant number.

A certified caregiver is a type of caregiver who has completed the necessary training and education to show their caregiving skills and experience. Depending on your location and specialty, you may need a certification to become a professional caregiver.

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.

Requirements For Becoming an In-Home Caregiver in Washington State Be 18 years old or older. Be authorized to work in the U.S. Provide a picture ID of yourself. Pass a criminal conviction background check. Complete Washington State's caregiver training requirements.

Kittitas Interactive Management Services (KIM) is a leading provider of in-home support services for adults with developmental disabilities in Yakima and Ellensburg, Washington.

Autism Cares assists families who meet the eligibility criteria to cover costs associated with housing, automobile repair, insurance premiums, medical care, prescriptions, daycare, funeral expenses, and other items on a case-by-case basis. Income cap of $40,000.

The Caregiver Child Exemption, also known as the Caretaker Child Exception and the Adult Child Caregiving Exemption, enables an elderly individual to transfer their home to their adult child without violating Medicaid's Look Back Period on asset transfers.

Washington State requires 75 hours of basic training for all licensed caregivers. After you complete training, you need to pass your Washington State exam. To start the process, you can use the Home Care Aide Certification Application Packet published by the Department of Health to get a DSHS applicant number.

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Caregiver Form Sample With Name In Washington