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1. Parties: Identification of all parties involved - care recipient, legal representative (if applicable), caregiver, and caregiving agency (if applicable)
2. Background: Brief context explaining the need for caregiving services and the purpose of the consent form
3. Definitions: Clear definitions of key terms used throughout the document including 'caregiving services', 'emergency', 'medical intervention', etc.
4. Scope of Care: Detailed description of caregiving services to be provided, including daily tasks, medical assistance, and limitations
5. Medical Authorization: Specific permissions granted to the caregiver regarding medical decisions and emergency response
6. Confidentiality and Privacy: Obligations regarding personal and medical information protection in compliance with PDPA 2010
7. Emergency Procedures: Protocol for emergency situations, including contact hierarchy and decision-making authority
8. Liability and Indemnification: Clear statement of liability limitations and indemnification provisions
9. Duration and Termination: Period of validity for the consent and conditions for termination
10. Execution: Signature blocks for all parties and witnesses
1. Special Medical Conditions: Detailed section for cases where the care recipient has specific medical conditions requiring specialized care
2. Medication Management: Section detailing medication administration authority and procedures when medication management is part of care duties
3. Transportation Consent: Additional permissions for caregivers who need to transport care recipients
4. Religious or Cultural Preferences: Special instructions regarding religious or cultural practices that must be observed during care
5. Alternative Decision Makers: Section appointing alternative decision-makers when primary contact is unavailable
6. Financial Authority: Optional section granting specific financial management permissions if required
1. Schedule A - Care Plan: Detailed daily care plan including specific tasks, timing, and special instructions
2. Schedule B - Medical History: Summary of relevant medical history, current conditions, and medications
3. Schedule C - Emergency Contacts: Comprehensive list of emergency contacts in order of priority
4. Schedule D - Medication Schedule: Detailed medication list with dosages and administration times if applicable
5. Appendix 1 - Medical Power of Attorney: Copy of existing Medical Power of Attorney if applicable
6. Appendix 2 - Identification Documents: Copies of relevant identification documents for all parties
Healthcare
Elder Care
Social Services
Disability Support Services
Home Healthcare
Medical Services
Residential Care
Community Care
Mental Health Services
Legal
Compliance
Healthcare Operations
Patient Services
Risk Management
Clinical Operations
Social Services
Administrative Services
Quality Assurance
Medical Records
Healthcare Administrator
Care Coordinator
Legal Counsel
Medical Director
Compliance Officer
Social Worker
Case Manager
Healthcare Facility Manager
Risk Management Officer
Patient Services Director
Home Care Coordinator
Clinical Operations Manager
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