Axxess HomeCare App Training – Video Sign-Off
Harmony Heights Home Health Services
Please complete this form after you finish watching the Axxess HomeCare app training video. By signing, you confirm you watched the whole video and understand how to use the app on your phone.
Employee Full Name
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First Name
Last Name
Job Title / Position
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Please Select
Home Health Aide (HHA)
Attendant Care / Personal Care Aide
Homemaker
Registered Nurse (RN)
Licensed Practical Nurse (LPN)
Office Staff
Other
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
What kind of phone do you use?
*
Android phone (Samsung, Pixel, etc.)
iPhone or iPad (Apple)
Date You Watched the Video
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-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Training Acknowledgments
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I watched the entire training video from start to finish.
I downloaded the BLUE Axxess HomeCare app (not the red Axxess Home Health app).
I know how to access the app securely and will keep my access details private.
I will clock in and clock out only while I am at the client's home, and never for someone else.
I know how to complete my care notes and will finish them before I leave the home.
I know how to collect the client signature, and what to do if the client cannot sign.
I know how to use the app with no internet and sync my visits afterward.
I will use My Messages in the app, not personal texting, for any client information.
I know to call the Harmony Heights office at 463-312-2543 or the on-call line at 317-747-0780 if I need help.
Do you have any questions or need more help with the app?
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Yes
No
If yes, please describe your question
Employee Signature
*
Today's Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit My Sign-Off
Submit My Sign-Off
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