COVID-19 Liability and Exposure Checklist

COVID-19 Form - Home Care Services
For the safety of our clients, faculty, and staff, it is required by state law and federal law to complete the COVID-19 Liability form and the COVID-19 Exposure Checklist before attending the office. After completing the application, please hit the blue “submit” button to finish the application.

COVID-19 Liability and Exposure Checklist