EMPLOYEE FORMS

A. Non-Discrimination Policy.pdf
B. Direct Deposit Enrollment/Change Form
E1. Background Study 2018
E2. Background Study & Photo Authorization Location
E3. PCA Online Training
E4. DHS-4469 Individual Enrollment
E5. DHS-4611 Individual SERVICE AGREEMENT
E6. Employment Application 2018
E7. W-4 2018NEW
E8. I-9
E9. Minnesota statue 268.095 2018
E10. EMPLOYEE INFORMATION FORM

EMPLOYEE RESOURCES

E11. Job Description – Personal Care Attendant
E12. Personal Care Assistant
E13. What a PCA Can Do For Patient
E14. Fraud for PCA
E15. Personal Care Assistance Service Verification
E16. EMERGENCY INTERVENTION PROCEDURES 2018
E17. INCIDENT REPORT NEW
E18. BROCHURE – Help protect people who are frail or vulnerable
E19. Timesheet Criteria and Training
E20. Acknowledgement of Sumitted Timesheets FEB 2018
E21. Employee Handbook 2018
E22. ACKNOWLEDGEMENT & AGREEMENT
E23. Offer of Health Care Coverage 2018b
E24. Employment Authorized Release Form
E25. Holiday Cover 2018
E26. Annual Update Information

CLIENT RESOURCES

C1. PCA Initial Assesment.pdf
C2. Guide To Home Care Services 2010
C3. Tips for choosing a home healthcare provider
C4. Change of Agency Form Empty 2017
C5. Bill of Rights
C6. HIPAA Privacy Rules
C7. Notice of Privacy Practice
C8. HOSPICE 2018
C9. Acknowledgement of Sumitted Timesheets
C10. Authorizatin To Release Information For RHHC
C11. Authorization To Release Information General Use
C12. BLANK TIMESHEET 2018
C13. 2018 Payroll Calendar
C14. Annual Update Information

INITIAL MANDATORY-PCA TRAINING LOG (Word .doc file)

- 2023 TIMESHEETS -