On-Line Forms

Our online forms are formatted in PDF (Portable Digital Format). The forms can be viewed or downloaded using Adobe Reader Software. If your computer system does not already have Adobe Reader Software, then you can install a free copy by clicking on the icon below.

Time Sheets
Time Sheet for all Capital Healthcare Group companies

Job Application
2008 JCAHO National Patient Safety Goals Competency
Acknowledgement of OSHA Training
Background Check and Release Authorization
Call Off Procedure
Capital Healthcare Solutions Reference Sheet
Capital Memorandum
Confidentiality and Non-Solicitation Agreement
Consultant Employment Agreement
Contract Employee Profile
Direct Deposit Request Form
Disciplinary Procedure
Employee Tax Withholding Information Form
Employment Application
Form I-9
Form W-4
Hepatitis B Immunization Declination
HIPAA Employee Confidentiality
HIPAA Exam
Instructions for the Employee Timecard
JCAHO Quiz
OSHA/Fire Safety Manual
Physical Form
CHS Employee Handbook
Schedule Availability/Locations
TB Form

JCAHO
Hand Hygiene Guidelines
National Patient Safety Goals from JCAHO
Ongoing Education Activities
Continuing Education Form

Pharmacy Skills Checklists
Pharmacist
Pharmacy Technician

Competency Testing
http://www.nursetesting.com/nurse
Once your Pharmacy Recruiter has contacted you with your username and passcode, proceed to this site and take the test or tests which have been assigned to you. We will notify you once your test has been submitted and your score has been calculated. If you require assistance contact us at:
PA: 888-772-5469 ext. 265 for Heather Campbell
PA (Ebensburg): 866-319-8890 ext. 301 for Diane Sauger

Hospital Credentialing
All medical personnel who will be working in a hospital setting through UPN will be required to establish additional credentialing including, but not limited to: Specific Competency Testing; Med Training and Testing; Independent Facility Testing; and additional training and testing as needed.