Home Health Care Service Agreement Sample

A care contract is a way to hire a person or nurse to care for someone else for a fee. The caregiver can be a personal friend or family member, and determining the patient`s condition is recommended to be a licensed nurse. The caregiver is usually required to provide balanced meals, clean the room/house, perform household chores, run errands, and accommodate personal care needs. When the patient is aware of their surroundings, there is typically a camaraderie with confidence that forms over time. The following three spaces should be used to indicate the mailing address on which the caregiver should work. This should be indicated as the street, city and state of the mailing address in spaces placed under the terms “mailing address of”, “city of” and “state of” (each). Select the “Transportation and shopping” checkbox if the nurse is expected to provide any of the services defined in the checklist below. If yes, mark any description that should apply to the required tasks that the nurse is to perform. Here you can assign the caregiver the task of “driving beneficiaries to medical, dental, adult and other appointments and activities”, “Shopping for food and other necessary items…” ” and “do other shopping for the recipient. If the first two selections do not exactly define all the driving tasks for which the manager is responsible, be sure to mark the third and define each driving task on the displayed blank lines.

If the caregiver is given the task of providing food, select the checkbox called “meals”. This theme also requires some additional details provided by a checklist. Be sure to place in each checkbox statement a marker describing each obligation for which the caregiver is required to mark the box “Prepare…” “, “Buy or help get food” and/or the box to control “Act as a companion in restaurants”. Note: If you mark the first description, enter the number of “meals per day” that the concierge must prepare for the recipient, in the space provided. If the caregiver is to perform “housework” for the recipient, the words “domestic work” printed in bold must be marked. Also place a marker in the box with the inscription “Cleaning Recipient`s Living Area” and/or “Laundry And Changing Linens”, in order to make the caregiver responsible for fulfilling these obligations. The recipient may need help ensuring that their accounts and invoices are cancelled. If so, select the “Financial” box and select one or both definitions to include them in the manager`s required tasks. The first description assigns the task “Pay the beneficiary`s bills, clear the beneficiary`s checkbook, make deposits” and handle other tasks such as managing the beneficiary`s health insurance. The second selection indicates an area in which you can identify certain tasks that the caregiver needs to perform in the recipient`s service.

Many nurses have to administer medication. If the caregiver has such a responsibility in this document, mark the printed phrase in bold “medication administration.” Use the instructions in the box “Make sure the recipient is taking all medications…” ” and “Assistance to the beneficiary in life and training routines” to make one or both tasks the tasks of the caregiver. . . .

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