Consent to Care Assessment Form Consent to Care Assessment Form Section 1: Representative Information (if applicable) Relationship to ClientFamily MemberLegal GuardianPower of AttorneyOther Section 2: Purpose of Assessment This assessment aims to: - Identify the care needs of the client - Develop a personalized care plan - Ensure the safety and well-being of the client Section 3: Consent Statement Please confirm your understanding of the assessment process Section 4: Consent Declaration "I consent to Wapmass Domiciliary Care conducting a care assessment. I understand that the information collected will be used solely for developing an appropriate care plan and will be handled in accordance with GDPR regulations."Guardian" "Other"]
