SamariCare Home
Frequently used forms
Veteran/Private Patient Intake Form
Substitute Employee Request
Task and Workorders
House Cleaning Service Payment Request
Call Out Request : Time Off
Team Daily Operation Checklist
New Employee Documents
New Hire Package
New Employee Check List
Employment Application Form
Employee Direct Deposit Authorization
IRS Federal 1099 Contractor Status Record
Policy Documents
SamariCare Policy
Barrier Crimes Document
Training Documents
Training Document
Employee Health Assessment
Current Employee Documents
Private - Daily Tasksheet Report
Medicaid - Daily Tasksheet Report
Voice Note Patient and Employee Recording
Team Daily Operation Checklist
Veteran Care - Daily Task Sheet Report
Site Visit Request Form
Employee Work Order and Request Form
Patient Documents
New Patient Care Agreement
IN-HOME AIDE Supervisory Visit Report
Personal Care Log Monthly
Personal Care Log Weekly
New Patient Check List
Rights to Complain
Advance Directives
Patient Notes