For Job Candidates:
Employment Information Request Form

Skills Checklist Forms
(You will need either Microsoft Word or Adobe Acrobat Reader.)
Click here to download the Acrobat Reader.

Critical Care Skills Checklist Emergency Room Skills Checklist ICU Skills Checklist LDRP Skills Checklist Med Surg Skills Checklist Mother-Baby Skills Checklist Neo Natal Skills Checklist Operating Room Skills Checklist (Circulate) Operating Room Skills Checklist (Scrub) ORT-CST Skills Checklist PACU-Recovery Skills Checklist Pediatric Skills Checklist Post Partum Checklist Telemetry Skills Checklist Geriatric Skills Checklist

PDF Format (1) Use if Microsoft Word is not available. (2) Print and Complete (3) Fax to: 713-468-6505 Click to download Adobe Acrobat Reader FREE from Adobe. Microsoft Word Format (1) Complete the Checklist (2) Save to your local computer (3) Email completed form to: info@richardshealthcare.com

Miscellaneous Forms:
01 Pre-Employment Checklist
06 Telephone Reference
07 Background Check-Disclosure and Release
08 Authorization to Release Confidential Information
Authorization for Drug Screen
09 Medical Release
11 State Withholding Information-All States W-4
14 Employee Non-Compete Agreement
15 Inservice Documentation
16 Universal Precautions
17 Age Specific
18 Back Safety Tips
19 Verification of Back Safety Tips
20 Workers Compensation Waiver
22 Documentation of Permanent Residence
23 Housing Standard Furniture Package
24 Standards of Business Conduct
28 Voluntary Term Life Insurance Program
Direct Deposit Authorization Form
Advance Directives Acknowlegement
Child Abuse Prevention Acknowledgement
Elder Abuse Awareness Ackowledgment
Hazard Communication Acknowledgement
Physical Restraints Acknowledgement
Safety Orientation
Hepatitis B Vaccination Status - Declination Statement