Required Forms & Skill Checklists
Please download, fill out, sign and bring all related forms to the interview or you can mail forms to our address at 444 W. Ocean Blvd. Suite 1050 Long Beach, CA 90802, you can also send forms by fax, our fax number is: (562) 495-1508

Forms:

• Adult Elder Reports
• Annual Health & TB Questionnaire
• Application
• Authorization to mail Payroll Check
• Capping
• Child Abuse Policy
• Code of Ethics & Conduct
• Competency and Assessment verification
• Compliance with HIPAA Privacy
• Disclosure And Authorization to Obtain Information( Criminal Background Check)
• Do Not Return Statement
• Drug and Alcohol Policy
• Drug Screening Statement
• Elder Abuse Statement
• Employee's Standard Policy & Procedures
• Enterprise Zone Hiring Tax Credit Form
• Health Certification Form
• Hepatitis B & Tetanus Waiver
• I-9 Form, Employment Eligibility Verification
• Influenza Declination
• JCAHO Orientation Checklist
• Job Description
• Licensure information form
• Meal Waiver
• Patient Bill of Rights
• RNs & LVN Specialty & Preference checklist
• Short Resume
• Skills Checklist
• W-4 Form

Exams

• Abuse Competency
• Age specific
• Bloodborne Pathogens
• Body Mechanics
• CNA Exam
• CNA Psych Exam
• Cultural Diversity
• Disaster Preparedness
• Domestic Violence
• Employee Orientation
• End of Life Policy
• Fall Prevention
• Fire & Electrical
• Hazardous Substance
• Immune Suppressed
• Infection Control
• Medication Cart
• National Patient Safety Goals
• Patient's Rights
• Physical Assault
• Radiation Safety
• Restraints
• SCAN
• SEDAA
• Sexual Assault