request vaccination with Hepatitis B vaccine.

decline vaccination with the Hepatitis B vaccine. I have read the above information and realize that I am potentially at increased risk of exposure or Development of the Hepatitis B infection. I choose not receive the Hepatitis B vaccine at this time.

APPLICATION:
Upon receipt of yourreferences, your application and exam will be reviewed by ourstaff and yourlicense will be verified by the State Board of Nursing. You will be notified approximately one week after your interview until your application has been approved.

PROBATION: When references have cleared and you have been offered your first assignment, you are considered a probationary caregiver.

Probationary statusisin effect for 90 daysfrom the date of your first assignment. One or more incidents could cause usto discontinue offering you assignment, and will result in your termination.

Some examples are:
a. Infractions of the “Nurse Practice Act”.
b. Reportsfrom facilities of clientsthat your work is not accepted.
c. Not showing up for an assignment that you have accepted.
d. Too many sick or emergency cancellations.
e. Any serious misconduct while on or off duty that may reflect on First Premier Healthcare Services Inc.
f. Infractions of policies or procedure of facilities.
g. Violation of “Conditions of Employment”.

REQUIREMENTS: When you work for FLORIDA CONCIERGE HOME CARE, it is you’re responsibility to call in your availability to our office on a weekly basis. If you fail to do so your file will be placed inactive and you will be considered resigned. If you change your telephone number, or it becomes disconnected, it is your responsibility to provide our office with an alternative phone number until this requirement is met. If our office cannot reach you due to the reason above, your file will be place inactive and you will be considered resigned. All employees/caregivers/contractors must comply with AHCA requirements within 30 days from the date of your first assignment. Any violation of AHCA requirements, either by not complying when hired or at renewal times, are groundsfor termination

Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973 and the Age Discrimination Act of 1975.
FLORIDA CONCIERGE HOME CARE agreesto comply with provisions of title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973 and the Age Discrimination Act of 1975, and all requirements imposed pursuant thereto, to the end that no person shall on the grounds of race, color, national origin, handicap or age, be excluded from participation in, be denied benefits of, or otherwise be subjected to discrimination in the provisions of any care of services.

Specifically, the above includes (but is not limited to) the following characteristics:
1. Care will be provided in a manner that is not discriminated against person on the basis of race, color, national origin, handicap, or age.
2. Employees will be assigned to clients services without regard to the race, color, national origin, handicap, or age of either the client or employee.
3. Staff privileges will not be denied professionally qualified personnel on the basis of race, color, national origin, handicap or age.
4. All facilities of the Registry will be utilized without regard to race, color, national origin, handicap or age.

The non-discriminatory policy of this Registry applies to clients, physicians, independent contractors and all responsible employees.

Disbursement of Funds and Pay Check Policy

FLORIDA CONCIERGE HOME CARE will issue paychecks or direct deposit every other Friday after 2:00 pm. Once a check is mailed, it is your responsibility. If a check needs to be re-issued, you will be required to pay the $50.00 bank fee, which will be deducted from your re-issued check.

If would like your check mailed, please confirm the address:

have read and fully understand the above policy set forth by FLORIDA CONCIERGE HOME CARE