New Hire Forms

Proof (s) of eligibility to work in the United States is required for registration.

• Social Security Card, FL. Driver License/ID, US Passport, Permanent Resident Card, Work Permit or Birth Certificate.

Valid Florida Professional License/Certificate: 

• C.N.A, LPN, RN
• HHA Certificate with at least 40 hours of training from a professional vocational technical school or licensed non-public education school.

Level 2 Background Screening with ‘eligible’ result.

• AHCA’s  ORI (Original Agency Identifier) EAHCA020Z

Physical Examination from: 

• A MD, Physician’s Assistance or an advanced registered nurse practitioner under the supervision of a licensed Physician dated within the last six months that Caregiver is free from communicable deceases.

Current CPR Card:

From an instructor who is approved to provide training by the America Hearth Association or the America Red Cross.

Professional Liability Insurance can be obtained from: (check rates and apply online)

• CM & F Group- www.cmfgroup.com
• NSO – www.nso.com or call 800-27-1500 – Required coverage amounts -CNA/HHA  ( $500,000 – $2,500.000)

                                                                              RN/LPN part-time (1,000,000 – $6,000,000)

Continuous Education Course:

HIV/AIDS                              – 4 hours Original/Updates 2 hours

Domestic Violence                 – 2 hours (all caregivers)

Alzheimer’s                            – 2 hours (all caregivers)

Assisting with Medication     – 2 hours for 40hour HHA

Medical Errors                       – 2 hours (RN LPN)