Caregiver Agreement

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.

Household

• 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.

Meals

• Ordering if delivered
• Making/serving/cleaning up

Personal care

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

Transportation

• 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

General

• Running errands

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