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Home
About
About HomeCentris
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Resources
Careers
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Employees
Employee Tools & Resources
HomeCentris University
Search for:
Home
About
About HomeCentris
Vision & Values
HomeCentris 360
Leadership Team
Services
Home Care Services
Transitional Services
Skilled Home Health
Veterans Program
Primary Care Housecalls
Ancillary Services
Resources
Careers
Contact
Employees
Employee Tools & Resources
HomeCentris University
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Pennsylvania Training Acknowledgment
PA Training
Monea Jones
2023-10-20T16:59:40-04:00
Annual Training Acknowledgment Form
Annual Training Attendee
*
Annual Training Attendee
First Name
First Name
Last Name
Last Name
Personal Care Orientation Training:
• Abuse and Neglect Training • Fraud and Abuse Training • Incident Report Training • QAPI Training • Complaint Management Training
Acknowledgement:
By signing this form, I am verifying that I have received annual training on the following topics above. I understand how the subjects covered applies to how I fulfill my role as a Direct Care Worker. I agree to consistently apply the trainings received and to demonstrate safe work practices while performing my duties. I have been given a chance to have my questions answered, and they were answered to my satisfaction. I am aware if I have further questions after orientation, I can contact my supervisor or client relationship manager for more clarification.
Signature
*
Clear
Date
*
Authorized Annual Training Administrator:
Submit
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