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Health Care


 

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Download Forms


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All Staff

Application
* Criminal History Information Consent Form and Medical Release Form
* Emergency Contact Form
HepB Decline or Vaccine/Titer Request
* Injury Report
* Latex Sensitivity Screen
* TB - Annual Surveillance Form
* TB Skin Test Questionnaire
 

401k Information

Designation of Beneficiary Form
Enrollment Guide
401k Rollover Form
Investment Election Form
Plan Description Summary
 
 

Time Sheets

Administrative Time Card
Homecare Daysheet
Guide for Time Cards
Staffing Time Card
Sample Completed Time Card

ACT1 - Personnel Timecard
Utilized by all INNOVATIONS employees working for Detroit Edison, American Axle, Henry Ford Occupational Health Clinic, Henry Ford Nephrology Clinic, Henry Ford Vascular Access Clinic, or the Operating Room at Henry Ford Hospital-main. Also for any future Henry Ford Hospital Clinics or external occupational sites for HFHS.

Payroll and Accounting

Federal I-9 Form
MI-W4 Tax Form
Payroll Information - Direct Deposit
W4 Tax Form
 
 
 
 
 
 
 

Licensed Staff

* Company Contact Information
* Health and Safety Information

Placement and Shift Preferences

* Professional Nursing Employee Guide

Reference Release Signoff

 

Skills Checklists, Job Descriptions, and
National Patient Safety Goals

* Behavioral Health

* Critical Care - All ICU's and Stepdowns

* Emergency Department

* Hemodialysis

* Maternal Child Health

* Medical/Surgical

* Neonatal Intensive Care

* Occupational Health

* Operating Room Technician

* Pediatrics - General

* Pediatric Intensive Care

* Perioperative

 

Orientation Packets

* Select Specialty Orientation Packet 2008-09