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State-Specific Electronic (Adobe Sign) and Downloadable (PDF) Forms.

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Electronic (Adobe Sign) and Downloadable (PDF) Forms
                                          Click link on right for Adobe Sign or  PDF
AAS Attestation Form Updates  (PDF Only) PDF
Age-Specific Education Adobe Sign PDF
Annual Policy Signoff Form Adobe Sign PDF
Annual Self-Assessment and Policy Signoff Adobe Sign PDF
Attestation for New Employees Form  (PDF Only) PDF
Basic Concepts in Psychiatry Form  (PDF Only) PDF
Bloodborne Pathogens & Universal Precautions Policy (PDF Only) PDF
Blue Cross Blue Shield (Highmark) Enrollment Form  (PDF Only) PDF
Contact Information Request and Invitation to Self-Identify Adobe Sign
COVID-19 Vaccination Declination Adobe Sign
Dental Enrollment Form  (PDF Only) PDF
Direct Deposit Form Adobe Sign PDF
Diversity and Sensitivity Training (PDF Only) PDF
Employee’s Report of Work-Related Injury, Illness, Near Miss, or Hazard Adobe Sign PDF
Equal Employment Opportunity is the Law  (PDF Only) PDF
Executive Order 11246 Invitation to Self-Identify  (Adobe Sign Only) Adobe Sign
Facility Hours Verification Form  (PDF Only) PDF
Field Staff Handbook  (PDF Only) PDF
First Aid  (PDF Only) PDF
Hepatitis B Waiver Form Adobe Sign PDF
Health and Safety Policy and Procedure Manual (PDF Only) PDF
HIPAA and Abuse Self-Study and Tests Adobe Sign PDF
History & Physical Form – Two Step PPD  (PDF Only) PDF
History & Physical Form – One Step PPD  (PDF Only) PDF
I-9 Form 2023 Adobe Sign PDF
Infection Control Prevention Training Materials (PDF Only) PDF
Influenza Immunization Waiver Form Adobe Sign PDF
Intellectual or Developmental Disabilities and Alzheimer’s & Dementia Training Acknowledgement (Adobe Sign Only) Adobe Sign
Intellectual or Developmental Disabilities and Alzheimer’s & Dementia Training Materials (PDF Only) PDF
Job Description – Licensed Practical/Vocational Nurse  (PDF Only) PDF
Job Description – Physical Therapist  (PDF Only) PDF
Job Description – Radiological Technologist  (PDF Only) PDF
Job Description – Registered Nurse  (PDF Only) PDF
Job Description – Surgical Technologist  (PDF Only) PDF
Kaiser Security Investigation & Consent Form  (PDF Only) PDF
Medication Administration Education Form  (PDF Only) PDF
Official Request for an Additional Assignment Form (Adobe Sign Only) Adobe Sign
Official Request for Per Diem Availability Form (Adobe Sign Only) Adobe Sign
Official Request for Reactivation Form (Adobe Sign Only) Adobe Sign
Pain  (PDF Only) PDF
Pain Management Test (PDF Only) PDF
Pain Recognition  (PDF Only) PDF
Performance Evaluation Form  (PDF Only) PDF
Permanent Tax Resident Form Adobe Sign PDF
Professional Boundaries Policy Adobe Sign PDF
References  (PDF Only) PDF
Required Forms for Local Assignments  (Adobe Sign Only) Adobe Sign
Required Forms for Travel Assignments  (Adobe Sign Only) Adobe Sign
Resident Adjustment to Institutional Life  (PDF Only) PDF
Residents’ Rights  (PDF Only) PDF
Retirement – Brochure and Enrollment 401k  (PDF Only) PDF
Round Trip Travel Reimbursement Form Adobe Sign PDF
Security Investigation Consent & Release Form  (Adobe Sign Only) Adobe Sign
Safety Incentive Program (PDF Only) PDF
Safety Inspection and Familiarization Checklist (PDF Only) PDF
Standard Security Life Insurance Company Form  (PDF Only) PDF
Tuberculosis (TB) Questionnaire Adobe Sign PDF
Tuberculosis (TB) Training Materials  (PDF Only) PDF
Universal Precautions Policy Form  (PDF Only) PDF
W-4 Form 2023 Adobe Sign PDF
Waiver of Group Health Benefits Adobe Sign PDF
State-Specific Electronic (Adobe Sign) and Downloadable (PDF) Forms
                                          Click link below for forms:
Alabama Facility-Specific Forms
Alaska Facility-Specific Forms
Connecticut Facility-Specific Forms
California Facility-Specific Forms
Colorado Facility-Specific Forms
Hawaii Facility-Specific Forms
Illinois Facility-Specific Forms
Kansas Facility-Specific Forms
Kentucky Facility-Specific Forms
Louisiana Facility-Specific Forms
Maine Facility-Specific Forms
Maryland Facility-Specific Forms
Minnesota Facility-Specific Forms
Montana Facility-Specific Forms
Nebraska Facility-Specific Forms
New Hampshire Facility-Specific Forms
New York Facility-Specific Forms
North Carolina Facility-Specific Forms
Ohio Facility-Specific Forms
Oklahoma Facility-Specific Forms
South Carolina Facility-Specific Forms
Texas Facility-Specific Forms
Vermont Facility-Specific Forms
Virginia Facility-Specific Forms
Washington Facility-Specific Forms
West Virginia Facility-Specific Forms
Wisconsin Facility-Specific Forms
Wyoming Facility-Specific Forms