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You are Here: Home Page > Home Care Professionals > Guide and Fillable Forms for the Operation of a Home Health Aide Training Program

Guide and Fillable Forms for the Operation of a Home Health Aide Training Program

  • Guide to Operation of a Home Health Aide Training Program (PDF, 101KB, 14pg.)
  • Appendix 1 - HHATP Nurse Instructor Application & Directions (DOC, 64KB, 2pg.)
  • Appendix 2 - HHATP Application. (DOC, 108KB, 6pg.)
  • Appendix 3 - HHATP Re-approval Application (DOC, 50KB, 2pg.)
  • Appendix 4 - Daily Training Program Schedule (DOC, 41KB, 1pg.)
  • Appendix 5 - Home Health Aide Trainee Evaluation Form HCC (DOC, 17KB, 1pg.)
  • Appendix 5a - Home Health Aide Trainee Evaluation Forms HRT (DOC, 16KB, 2pg.)
  • Attachment 1 - Home Care Program Manager list (DOC, 26KB, 1pg.)
  • Attachment 2 - Suggested Equipment List (DOC, 28KB, 1pg.)
  • Attachment 3a - Surveillance List of Required Docs (DOC, 26KB, 1pg.)
  • Attachment 3b - HHATP Surveillance Tool (PDF, 280KB, 13pg.)
  • Attachment 3c - HHATP Monitoring Tool (XLS, 48KB, 1pg.)
  • Attachment 4 - Trainee Rights (DOC, 32KB, 1pg.)
  • Attachment 5 - Schedule of Classes & Directions (DOC, 75KB, 2pg.)
Questions or comments: hhatp@health.state.ny.us
Revised: June 2019

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