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No you don’t.
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No, you do not need a letter from a doctor to be a caregiver.  Why do you think that you need a letter?
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What is the problem? Why are you concerned?
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Are you asking how to request payment for care provided to a parent specifically a caregiver construct?

If so hang in there, someone will reply soon re caregiver contracts.
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I wish, and my letter was not approved...
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