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Caregiver To-Do List
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Caregiver Name:
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First Name
Last Name
Cell phone number:
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Please select all caregiver assignments/action items you would like to add to the caregiver’s Care 4 Caregivers Library:
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Maintain Paper Medication List
Transportation Services
Apply for Medi-Cal
Follow up with Medi-Cal
Apply for IHSS
Follow up with IHSS
Contact Live Strong and Safe
Complete Checklist for Fall Risk
Arrange Financial Power of Attorney and Advanced Healthcare Directives
Arrange Food Resources
Apply for CalFresh
Contact In-Home Caregiving Agency
Find IHSS worker
Contact Veterans Services Office
Contact Adult Day Center
Contact Adult Day Health Center
Apply for Meals on Wheels
Blood Pressure Log Template
Blood Sugar Log Template
PT exercises Log Template
Contact Emergency Response System
Access Personalized Caregiver Training and Resources
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