Caregiver Responsabilities / Connect With Us

Client's Full Name *

Client or Guardian's Email Address *

1. Provide Supervision & Companionship *

Provide constant or scheduled supervision to ensure safety
Offer emotional support and companionship
Engage in meaningful conversation and positive interactions
Monitor the individual’s behavior and activities

2. Personal Care Assistance (if needed and allowed) *

Assist with bathing, dressing, grooming, and toileting
Help with feeding or meal supervision
Support with mobility (transfers, walking, wheelchair use)

3. Medication Reminders *

Remind the individual to take medications on time
Monitor for any noticeable reactions or side effects
N/A

4. Meal Preparation *

Prepare meals and snacks based on dietary needs
Encourage healthy eating and hydration

5. Recreational & Social Activities *

Engage the individual in hobbies and games
Facilitate arts and crafts, music, or reading time
Take them on walks or supervise outdoor time
Accompany them to community activities or outings (if applicable)

6. Light Housekeeping (related to care) *

Clean up after meals and activities
Maintain cleanliness of the care area
Wash dishes, do light laundry, or tidy up as needed
N/A

7. Transportation Assistance (if authorized) *

Drive or accompany the individual to appointments, errands, or community outings
N/A

8. Communication & Reporting *

Communicate with the primary caregiver or agency regularly
Report any changes in behavior, mood, or health
Maintain documentation of care activities if required

9. Following the Care Plan

Adhere to the individualized respite care or behavior support plan
Respect cultural and personal preferences

Parent/Guardian’s Signature *

Date *

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