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Caregiver Agreement

Services To Consider When Drafting A Caregiver Agreement

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Following is a sample of needs to consider when drafting a Caregiver Agreement. The list is meant to be a starting point to help determine what to include in the agreement. When determining needs for a particular person, consider all the person's general needs as well as those necessitated by his or her current condition and its possible future course.


  • Laundry
  • Keeping the house clean and tidy
  • House maintenance
  • Yard work
    • Grocery
    • Other
    • If the contract specifies that you will give the caregiver money to shop for you, it should also specify that the caregiver must provide receipts for all purchases.


      • Ordering if delivered
      • Making/serving/cleaning up

        Personal care

        • Dressing
        • Bathing
        • Toileting
        • Transfer
        • Record keeping
        • Preventing client from wandering or hurting him/herself


          • To and from medical appointments (If your vehicle is to be used, be sure the person has a valid drivers' license and that your autombile insurance covers the person. If the caregiver's vehicle is to be used, be sure to get a copy of proof of automobile insurance including uninsured motorists insurance and limits of at least $250,000 for bodily injury, $500,000 per incident and $50,000 property damage. You could be liable if the caregiver is in an accident while traveling on your behalf.)
          • Other

          Medical care

          • Dispensing medication on time
          • Overseeing medication to make sure medications are taken on time and that a sufficient supply is always on hand
          • Filling prescriptions
          • Helping to keep a port clean
          • Changing dressings
          • Monitoring changes
          • Contact with the doctor or other care provider
          • Maintaining the person's copy of his or her medical record
          • Coordinating doctors
          • Patient advocate in hospital

          Medical appointments

          • To make appointments
          • To help prepare for appointments
          • To act as a patient advocate
          • To provide help getting to and from

            Financial matters

            • Help paying bills
            • Banking


            • Running errands

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