Start your registration process here Name* Phone*Email* What type of placement are you seeking?*RNLPNCNAHHAHomemaker/CompanionSelect Office Location*BakerBrevardBrowardClayCollierDuvalFlaglerHillsboroughIndian RiverLakeLeeMarionMartinMiami-DadeMonroeNassauOrangeOsceolaPalm BeachPinellasPolkSarasotaSeminoleSt. JohnsSt. LucieSumterVolusiaHow many years of caregiver experience do you have?*Please enter a number from 0 to 100.Are you available to Live In?* Yes No Do you have a level 2 background screening on file with AHCA?* Yes No Do you have a communicable disease statement?* Yes No Do you have a valid CPR Card?* Yes No Have you completed HIV/AIDS training (1 hour)?* Yes No Have you completed Alzheimer/Dementia Training (1 hour)?* Yes No Have you completed Assistance with Self-Administered Medication Training (2 hours)?* Yes No Can you provide documentation of a driver's license and auto insurance?* Yes No Helpful LinksWelcome Care Providers Registration Requirements Registration View Opportunities Locations and Registration Hours Client Care Logs Care Provider Resources
