Get the free Extended Care Agreement - winfreepreschool.org
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Parents, please sign this agreement if you are participating in Early or Extended Care. Please return this form to the Preschool office. We will then copy and give you a copy for your records. Extended
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How to fill out extended care agreement
How to fill out extended care agreement
01
Step 1: Read the extended care agreement document thoroughly.
02
Step 2: Fill in your personal information, including your full name, address, and contact details.
03
Step 3: Provide detailed information about the person who requires extended care, such as their name, age, and specific care needs.
04
Step 4: Specify the duration of the extended care agreement, including the start and end dates.
05
Step 5: Indicate the type of care services required, such as medical assistance, supervision, or personal care.
06
Step 6: Include any additional instructions or preferences for the care provider.
07
Step 7: Review the agreement and ensure all information is accurate.
08
Step 8: Sign and date the extended care agreement.
09
Step 9: Keep a copy of the agreement for your records.
10
Step 10: Provide a copy of the signed agreement to the care provider.
Who needs extended care agreement?
01
Anyone who requires extended care services can benefit from an extended care agreement. This can include individuals with chronic illnesses, disabilities, elderly individuals in need of assistance, or anyone who requires ongoing care and support beyond what can be provided in a short-term arrangement.
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What is extended care agreement?
Extended care agreement is a formal agreement between a caregiver and a care recipient outlining the terms and conditions of providing extended care services.
Who is required to file extended care agreement?
The caregiver or care provider is required to file the extended care agreement.
How to fill out extended care agreement?
Extended care agreement can be filled out by providing detailed information about the care recipient, services provided, duration of care, payment terms, and any additional terms and conditions.
What is the purpose of extended care agreement?
The purpose of extended care agreement is to ensure clarity and understanding between the caregiver and the care recipient regarding the extended care services provided.
What information must be reported on extended care agreement?
Information such as details of the care recipient, services provided, payment terms, duration of care, and any additional terms and conditions must be reported on the extended care agreement.
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