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 Printable For Child In Pima
Category:
State:
Multi-State
County:
Pima
Control #:
US-00458BG
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Word;
Rich Text
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This online referral form is to help connect families and individuals with Pima County Health services and programs. This packet contains the following form that must be filled out and submitted to the Court: o Annual Report of a Guardian for a Minor Child.Complete one of the following application forms: Follow the instructions on the application and provide as much information and as many documents as possible. Family caregivers provide most of the assistance that enables older Arizonans and those with disabilities to live independently in their homes and communities. ➢ Parenting plan forms are available at self‐service centers, in courthouses, and on the Internet. Fill out the form and file it with the court. This page presents resources and information about the Salt River Pima Maricopa (Arizona). Learn how to name a caregiver for your child and what form you'll need to fill out. The caregiver permission is good for up to 2 years. Provides a range of family support programs in Arizona, focusing on prevention, education and resources for parents, caregivers and children.