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.
Care Caregiver Form For Veterans In Broward
Category:
State:
Multi-State
County:
Broward
Control #:
US-00458BG
Format:
Word;
Rich Text
Instant download
Description
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FAQ
5 Ways You Can Support a Caregiver in Your Life Take Over Tasks — Because There are Plenty. From cleaning and grocery shopping to laundry and dishes, running a household and caregiving at the same time is a huge challenge. Offer Transportation. Give Respite. Cook or Deliver a Meal. Keep Reaching Out.
Need Help? To assist you with enrolling in these programs, contact your local VA facility CSP Team/Caregiver Support Team, or call the VA Caregiver Support Line(CSL) at 1-855-260-3274. Subscribe to receive email updates and information about VA Caregiver Support Program services.
Caregiver Support Program (CSP) The program's mission is to promote the health and well-being of family caregivers who care for our Nation's Veterans, through education, resources, support, and services. Find Your Local Caregiver Support Team located at every VA facility .
More info
Call the Caregiver Support Line at ( TTY: 711 ) and ask for help filling out the form. Fill out a joint Application for the Program of Comprehensive Assistance for Family Caregivers (VA Form 10-10CG).Get VA Form 10-10CG to download. Dear Recipient Name: Broward County Elderly and Veterans Services Division is the designated Lead Agency for the Planning and Service Area 10 (PSA 10). Eligible Veterans may be able to receive access to an inhome caregiver if they and the person providing care meet certain requirements. Use the applicant's legal name, such as what is on a driver's license or social security card. To learn more about how we put our skills and knowledge to work for people like you every day, call right now, or fill out our contact form here. The VetAssist Program provides in-home care to veterans and surviving spouses so they can remain where they want to be – in their home. If you are searching for respite relief for yourself or someone you know caring for a military veteran, Comfort Keepers in Broward County, FL, is here to help! To learn more about how we put our skills and knowledge to work for people like you every day, call right now, or fill out our contact form here.