SC LarCare INC Portal Forms

Client / Patient

LarCare Inc. Client / Patient Personal Care Agreement
SC LarCare - Advance Directives v012025
SC LarCare Rights to Complain v042025
COVID-19 Protocol & Policy for LarCare Inc v052025
Patient Information and Intake Form
New Patient Checklist
LarCare - Request For Private Pay Invoice v012025
LarCare Inc (VA) DBA SamariCare Client Rights v062025
SC LARCARE INC Client Non Solicitation Agreement
SC LarCare Inc Emergency Preparedness Plan

Caregivers / Contractors

Daily Tasksheet Report
Contractor Application v012025
LarCare - Contractor Direct Deposit
SC LarCare - Criminal Background Check and Sworn Statement of Affirmation v012025
SC LarCare - Drug Test Clearance Policy for South Carolina v012025
SC LarCare - Contractor Health Assessment v012025
LarCare W9 No Prefill Individual (Website) - v012025
SC LarCare - Client Acknowledgement of Aide's Criminal Background History v042025
SC LarCare - Twelve Strike Policy
SC LarCare Competency Evaluation Form v42025
LarCare Inc Personal Care Aide Conduct and Non Solicitation Agreement
SC LarCare Inc Emergency Preparedness Plan
Photo/Video Disclaimer and Consent
Substitute Contractors Request
Call out request: time off
Task and Workorders
Company Culture Awareness Standard Operating Agreement v082025
[2024] LarCare Aide Training Requirements By State
VA Training Requirements ( Curriculum Included )
Request for Veteran Care v082025
Verification of Mailing Address, Physical Address, and Driver’s License Acknowledgment

Nurses

LarCare Nurse Site Visit Report and Invoice v012025
LarCare Nurse In-Home Site Visit 062025
LarCare Non-Nurse In-Home Site Visit v062025
LarCare Home Health Nurse Performance Evaluation v012025

Operation Team

1099 Return Addresses
CareTime Training Page
SC LarCare 2025 Letterhead v012025
Caretime Training Log
LarCare Pay Schedule for 2025
Apprenticeship SOP
Background Check Result
[2025-2026] LarCare Inc_BNA_Hanover General Commercial Liability Package Insurance_2025-2026
LarCare_Administrative records
LarCare_Business License
LarCare_Current Organization Chart
LarCare_DHEC License
LarCare_Worker’s Compensation Insurance Certificate
South Carolina_Handbook, Policy, and Procedures
SOP: Fulfilling a Caregiver Relief Voucher (Central Midlands Area Agency on Aging)

Reports

LarCare South Carolina Vet Pay and Private Pay Reconcilation Ledger May 2024
Contractor Verification Letter 2025
All Patient - Nurse Activity Tasksheet Reports

HR/Training/Education

LarCare Aide Training Requirements by State
LarCare - Apprenticeship Request Step 1 v012025
VA Training Requirements ( Curriculum Included )
DocuSign Process for Program Sponsors 06.12.2024
Certification for Sponsors_v2.pdf
VA Training Requirements ( Curriculum Included )
Personal Care Virtual Provider Training 07-2024
Personal Care training checklist