skip to main content
Navigation menu

Department of Health

  • Individuals/Families
    • COVID-19 Vaccine
    • Birth, Death, Marriage & Divorce Records
    • Health Insurance Programs
    • Consumer Health Care Information
    • Community Health
    • Healthy Lifestyles
    • Health & Safety in the Home, Workplace & Outdoors
    • Diseases & Conditions
    • Data & Reports
    • Health Topics A to Z
  • Providers/Professionals
    • Novel Coronavirus
    • Narcotic Enforcement
    • EMS
    • Health Initiatives
    • Data & Reports
    • Diseases & Conditions
    • Patient Resources
    • Disease Reporting
    • Clinical Guidelines, Standards & Quality of Care
    • Permits, Licenses & Certification
    • All Health Care Professionals & Patient Safety
    • Health Topics A to Z
  • Health Facilities
    • Compare Health Care Providers
    • Adult Care Facilities/Assisted Living
    • Home Care & Hospice
    • Hospitals & Clinics
    • New York State Veterans Homes
    • Nursing Homes
    • School Based Health Centers
    • All Health Care Facilities
    • Health Topics A to Z
  • Health Data
    • Open Health Data
    • NYS Health Connector
  • About Us
  • Search
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

Department of Health

General Information

  • James V. McDonald, M.D., M.P.H., Acting Commissioner
  • About the Department of Health
  • Employment Opportunities
  • Wadsworth Center
  • AIDS Institute
  • Contact
  • Councils and Boards
  • Grants & Funding Opportunities
  • Laws & Regulations
  • Press Releases, Reports & Publications
  • Publications and Educational Material
  • Freedom of Information Law (FOIL)
  • Forms
  • Related Sites
  • Health Topics A to Z
  • A to Z en Español

COVID-19 Topics

  • Isolation and Quarantine Guidance
  • COVID-19 Data
  • COVID-19 Testing
  • Multisystem Inflammatory Syndrome in Children (MIS-C)
  • COVID-19 Treatments
  • COVID-19 Guidance
  • Pregnancy & COVID-19
  • Long COVID

Events

  • Meetings, Hearings and Special Events
  • Webcasts
  • Other Events

Current Issues/Info

  • 1-866-NY-QUITS - NYS Smokers' Quit Line
  • Addressing the Opioid Epidemic in New York State
  • Become an Organ Donor - Enroll Today
  • Diabetes & Diabetes Prevention
  • Drinking Water Protection Program
  • E-Cigarettes and Vapor Products
  • Ending the Epidemic
  • Health Care and Mental Hygiene Worker Bonus Program
  • Master Plan for Aging
  • Maternal Mortality & Disparate Racial Outcomes
  • Medicaid in New York State
  • Mpox
  • New York State Breast Cancer Programs
  • New York State Public Health Corps
  • NY’s Public Water Systems

Help

  • Help Increasing the Text Size in Your Web Browser
  • File Formats Used on this Web Site
  • Disclaimer
  • Privacy Policy
  • Accessibility

Language Assistance

  • English
  • Español (Spanish)
  • 中文 (Chinese)
  • Русский (Russian)
  • ইংরেজি (Bengali)
  • Italiano (Italian)
  • Kreyòl Ayisyen (Haitian-Creole)
  • 한국어 (Korean)
  • יידיש (Yiddish)
  • العربية (Arabic)
  • Polski (Polish)
  • Français (French)
  • اُردُو (Urdu)
  • Website Language Translations

CONNECT WITH US

  • FACEBOOK
  • TWITTER
  • YOUTUBE
  • PINTEREST
  • INSTAGRAM
  • FLICKR