CAREGIVER REFERENCES 2025

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  1. Click ‘Get Form’ to open the CAREGIVER REFERENCES document in the editor.
  2. Begin by entering the PROGRAM NAME and LICENSE/REGISTRATION NUMBER at the top of the form. Ensure that this information is accurate as it identifies your care program.
  3. Next, fill in your CAREGIVER NAME and select your role (Provider, Assistant, or Substitute) by checking the appropriate box.
  4. For each of the three references required, check whether they are a personal or employment reference. Fill in their NAME, ADDRESS, CITY, STATE, ZIP CODE, HOME PHONE, E-MAIL, and DAYTIME PHONE clearly.
  5. Indicate if each reference speaks English by selecting 'Yes' or 'No'. If they do not speak English, specify the language spoken.

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Thank you for caring for our family. Selfless, sacrificing and supportive: You give all of yourself to caring for others and we are so grateful for you. Never, ever doubt what a difference your caregiving makes. Even in the moments when no one is looking, youre making life better for our loved one.
A good senior care reference is one that highlights the caregivers qualities, says Patti Naiser, owner of Senior Home Transitions. The reference should also indicate the time the caregiver cared for their previous patient, what duties they carried out and why they left.
How to write a home health aide reference letter Include contact information and a formal greeting. Provide basic information. Describe job responsibilities. Highlight positive attributes. List additional contributions. Use positive language to end the letter.