APPLY TO BE A CAREGIVER

Applicants are welcome to apply to our agency by visiting our Brooklyn location Mon - Wed 10AM - 3PM with the following materials:

 

home health aide (HHA) / personal care aide (PCA)

1. UNEXPIRED - NYS ID, Drivers License, Passport, Permanent Resident Card or Work Authorization Card

2. Social Security Card - (Original Only)

3. HHA / PCA Certificate - (Originals Only)

4. Physical form completed by Physician - (Not more than 6 months old) 

5. Drug Screen – (Not more than 6 months old) (Lab Report with results)

6. Rubella Immunization – must be POSITIVE with Titers on LAB Report.  (This Never expires)

7. Rubeola /Measles Immunization - must be POSITIVE with Titers on LAB Report.  (This Never expires)

8. Annual PPD results – (Not more than 1 year old)

* If PPD is NEGATIVE you MUST have result information on Physical form

* If PPD is POSITIVE you MUST have CHEST X-RAY Lab Report

* Chest X-Ray can NOT be Older than 5 years

9. Two (2) Reference Letters (ie: pastor, priest, nurse, social worker, doctor, business owner, employer, home care agency, current patient / patient family members) 


PATIENT ASSISTANT (CDPAP)

1. UNEXPIRED - NYS ID, Drivers License, Passport, Permanent Resident Card or Work Authorization Card

2. Social Security Card - (Original Only)

3. Physical form completed by Physician - (Not more than 6 months old) 

4. Rubella Immunization – must be POSITIVE with Titers on LAB Report.  (This Never expires)

5. Rubeola /Measles Immunization - must be POSITIVE with Titers on LAB Report.  (This Never expires)

6. Annual PPD results – (Not more than 1 year old)

* If PPD is NEGATIVE you MUST have result information on Physical form

* If PPD is POSITIVE you MUST have CHEST X-RAY Lab Report

* Chest X-Ray can NOT be Older than 5 years


PDF FORMS

PDF

HHA/PCA Registration Requirements

PDF

CDPAP Registration Requirements

PDF

Employee Physical Form