Client care record 2026

1. Click ‘Get Form’ to open the client care record in the editor.
2. Begin by filling in the client’s name and CLTC# at the top of the form. This information is essential for identifying the client.
3. Select the appropriate services provided by checking the boxes under PC I, PC II, Homemaker, Companion, or HASCI. If other services are provided, specify them in the space provided.
4. For each day of the week, document caregiver names and initials along with time in/out for accurate tracking of service hours.
5. In the Personal Care section, mark all tasks that were assisted with during the week. Be sure to include any additional tasks under 'Other' if applicable.
6. Complete the Nutrition and Activities sections by checking off all relevant tasks performed for meal preparation and engagement activities.
7. At the end of the form, ensure both client and caregiver signatures are obtained where required. Remember to review all entries for accuracy before finalizing.

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