Apparatus for a perineal wash system includes a seat with a pair of pads spaced apart front to back to define a gap. The pads and frame define front and rear access areas dimensioned to allow a caregiver to access the perineal area of a seated person. In various embodiments at least one pad is movable sideways and may include a biasing spring, an operating handle, and/or a latch. The seat is suitable for a shower chair, a wall-mounted chair, and a bathtub chair. A gas spring optionally lifts one end of the seat. In one embodiment a perineal washer is supported adjacent the seat. The washer receives a nozzle of a sprayer and redirects the spray through a movable conduit to direct liquid upward to the perineum. In one embodiment a commode pot below the seat has a gap sufficient to avoid pinching dangling body parts.
