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TrimRay
Development, LLC
Personal Care Home
Employee Consent Form
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Employee Consent Form
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Enter your name
*
First
Last
As an employee of
Tri-Flexsi Home Health Care
, I hereby consent to the release of the following information to
Tri-Flexsi Home Health Care
.
Checkboxes
Professional License
CPR/BCLS/ACLS certifications
Employment Application
Health Verification
References
Skill Checklist
Background Check
The above information shall be treated as confidential by
Tri-Flexsi Home Health Care
and shall be released only with the said employee's consent or as required by law.
By submitting your name and email address, you acknowledge that you have you agree to the terms and conditions of our employee consent policy.
Employee Name
*
First
Last
Email
*
Submit
