Caregiver Onboarding

Employee Info
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date

Emergency Contact
Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Employment Health Attestation Form

This form confirms that the caregiver is physically capable of performing the duties required for providing in-home care services including assisting clients with activities of daily living such as mobility assistance, transferes, companionship, meal preparation, and light housekeeping.
"I attest that I am physically able to perform my duties required of a caregiver including assisting clients with mobility, standing, walking , lifting, and other activities necessary to safety care for clients in a home environment. I further attest that I do not have any communicable disease that would pose a risk to clients receiving care services. I understand that providing false information may result in termination of employment."
Employee Signature
Typed Name
Date

MonthDayYear
Date

Employee Policy Acknowledgement
All employees of NurseLink Staffing Group are expected to maintain professionalism, reliability, and high standards of patient care at all times.
Hand Hygiene & Infection Control
Caregivers must follow proper hand hygiene at all times to prevent infection. Hand hygiene is required:
- Before and after patient contact
- After contact with bodiliy fluids
- Before placing on gloves and after removal of gloves
- After touching surfaces in the patient environment
- Before preparing food or assisting with food
Acceptable hand hygiene methods include:
- Washing hands with soap and water for at least 20 seconds
- Using alcohol-based hand sanitizer when hands are not visibly soiled
Attendance Policy
Employees must notify NurseLink Staffing Group at least 4 hours prior to the start of their shift if they are unable to work.

Failure to provide proper notice may result in disciplinary action.
No Call / No Show Policy
Failure to report to a scheduled shift without notifying the company is considered a no call/no show

This may result in:
- Immediate removal from schedule
- Termination of employment
Dress Code
All employees must present a clean, professional appearance.
- Clean scrubs (no wrinkles or stains)
- Proper hygiene
- Closed-toe shoes
- ID badge
Confidentiality & HIPAA
All patient information must remain strictly confidential.

Employees must comply with all HIPAA regulations and protect patient privacy at all times.
Incident Reporting
All incidents must be reported immediately to NurseLink Staffing Group.

This includes:
- Falls
- Injuries
- Medication issues
- Any safety concerns
Professional Conduct
Employees must:
- Be respectful to clients and their family members
- Avoid personal phone use during care
- Remain focused on patient care at all times
YesNo
Signature
Typed Name
Date

MonthDayYear
Date
Should be Empty:

Employee Info

Employment Info

Emergency Contact

Employment Health Attestation Form

Employee Policy Acknowledgement

Hand Hygiene & Infection Control

Acceptable hand hygiene methods include:

Attendance Policy

No Call / No Show Policy

Dress Code

Confidentiality & HIPAA

Incident Reporting

Professional Conduct