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.
Caregiver Form Template For Ages 1.5-5 Scoring In Los Angeles
Category:
State:
Multi-State
County:
Los Angeles
Control #:
US-00458BG
Format:
Word;
Rich Text
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The Achenbach System of Empirically Based Assessment (ASEBA), created by Thomas Achenbach, is collection of questionnaires used to assess adaptive and maladaptive behavior and overall functioning in individuals.
The Child Behavior Checklist (CBCL) is a component of the Achenbach System of Empirically Based Assessment (ASEBA). The ASEBA is used to detect behavioral and emotional problems in children and adolescents. The CBCL is completed by parents.
ASEBA forms are designed to assess diverse behavioral, emotional, social, and thought prob- lems, plus competencies, strengths, and adaptive functioning, using data from multiple informants.
ASEBA software makes it easy to manage data obtained with ASEBA forms by creating easy-to-read profiles of normed scale scores and exportable narrative reports.
The Achenbach System of Empirically Based Assessment (ASEBA) includes standardized instruments for assessing behavioral, emotional, and social problems and adaptive functioning from the age of 1.5 to 90+ years.
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Caregivers interested in participating in the focus group were asked to complete an online application.