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I don't know, but, I would caution you from relying on legal documents from any source than an attorney who knows the facts of your case. It's not always a one size fits all. If funds are an issue, I'd try to pursue help from a legal clinic or legal aid agency.
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I found this sample copy here on AgingCare, it's 5 pages long.

https://www.agingcare.com/documents/personal_care_agreement_AgingCare.pdf
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