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1. Parties: Identification of the person making the affidavit (parent/legal guardian), the designated caregiver, and the person(s) receiving care
2. Background: Context explaining the need for the caregiving arrangement and the relationship between the parties
3. Definitions: Key terms used in the document, including specific types of care, emergency situations, and legal terms
4. Scope of Authority: Detailed outline of the caregiver's authorized responsibilities and decision-making powers
5. Duration of Authority: Specification of the time period for which the affidavit is valid
6. Medical Care Authorization: Specific powers regarding medical treatment decisions and access to medical information
7. Emergency Provisions: Special authorizations and procedures for emergency situations
8. Limitations of Authority: Clear statement of what the caregiver is not authorized to do
9. Revocation: Terms and process for revoking the affidavit
10. Declarations and Signatures: Formal statements of truth and signature blocks for all parties
1. Educational Authority: Section authorizing caregiver to make educational decisions and interact with schools, used when caring for minors
2. Travel Authorization: Section permitting caregiver to travel with the care recipient, including internationally if relevant
3. Financial Authority: Section granting specific financial powers for care-related expenses, used when caregiver needs to handle monetary matters
4. Religious Preferences: Section specifying religious considerations in care decisions, used when religious beliefs impact care choices
5. Alternative Caregiver Designation: Section naming backup caregivers, used when primary caregiver might be unavailable
1. Schedule A - Medical History: Detailed medical history of the care recipient, including conditions, medications, and allergies
2. Schedule B - Emergency Contacts: List of all emergency contacts and their contact information
3. Schedule C - Healthcare Providers: List of current healthcare providers and their contact information
4. Schedule D - Insurance Information: Details of health insurance and other relevant insurance coverage
5. Appendix 1 - Identification Documents: Copies of identification documents for all parties
6. Appendix 2 - Medical Consent Forms: Standard medical consent forms required by local healthcare providers
Healthcare
Elder Care
Child Care
Social Services
Education
Legal Services
Insurance
Medical Services
Disability Services
Community Care
Legal
Human Resources
Healthcare Administration
Social Services
Compliance
Risk Management
Patient Services
Employee Relations
Medical Records
Benefits Administration
Healthcare Administrator
Elder Care Coordinator
Social Worker
Legal Counsel
Family Law Attorney
Care Home Manager
Medical Director
School Administrator
Patient Care Coordinator
Human Resources Manager
Insurance Claims Manager
Disability Support Coordinator
Healthcare Compliance Officer
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