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Caregiver Task Sheet
The attached sample of a Caregiver Task Sheet template is a valuable tool that can be used to instruct caregivers on recent developments or drawbacks of the client. It is a great communication tool if there are multiple caregivers, as well as if family members cannot be present to communicate needs at the beginning of the shift.

Free Sample Template
Format: Word PDF
# of Pages: 1
Printable: Yes

Caregiver Task Sheet TemplateForm 3451
Format: Word PDF
Category: Occupation, Caregiver
Type: Form

Caregiver Task Sheet

Date: ___/___/_____

Caregiver Name: _______________________________________________________________________________

1

Pay the bills and taxes

2

Grocery shopping, plan; cook and serve meals

3

Home maintenance

4

Transportation

5

Housekeeping

6

Medical care treatment

7

Personal care

8

Administer medication

9

Incontinent care

10

Supervise hired home help

11

Hire home help

12

Rent and purchase medical equipment

13

Outfit home for safety

14

Take protective action against scammers

15

Make personal care decisions

16

Make medical decisions

17

Consult with lawyers, doctors, accountants, etc.

18

Take care of pets

19

Communicate with family members

20

Other:

Notes: ________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

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