Personal Care Agreement Sample

In California, Medi-Cal (California Medicaid) can pay for nursing home or long-term care for those with modest incomes and limited assets. To be eligible, the Medi-Cal beneficiary must meet certain requirements. Seniors often «spend» their assets using funds to pay for things like paid funeral expenses, home repairs, medical equipment and debts to reduce the dollar value of their assets. While you don`t have to hire a lawyer based on your situation, you can consult an older lawyer. You will sign a contract, so it is advisable to do so to make sure that everything is properly covered. If you decide to create the contract yourself, you can use this template that covers the basic information needed in a personal care contract. While this example document is not legally binding as it is, it is a good starting point for you and your beloved to think about the conditions you both want in the agreement. When a caregiver and dependent employee have an employment relationship, it is often recommended to ensure that the employment contract is fixed on paper. This type of documentation is available using the buttons that label the image on this page.

You can download any file version (Adobe PDF, Microsoft Word (.docx) or Open Document Text (.odt)) of this model at your own discretion. The following three spaces must be used to present the postal address to which the manager must work. This should be configured as the street address, city and postal address status on empty points placed under the terms «broadcast address,» «city of» and «state of» (or).. Check the checkbox titled «Transport and Races» if the manager is expected to provide one of the services set out in the checklist below. If so, select any descriptions that should apply to the required tasks that the manager must perform. Here, you can give the manager the task «Driving Recipient to Medical, Dental, Adult Care, And Other Appointments and Activities», «Shopping For Groceries and Other Items Needed… and «Running Other Errands For Recipient.»