Infant (age 0 – 2)
Child (age 3 – 18)
Adult female (age 19 – 64)
Adult male (age 19 – 64)
Senior (age 65 +)
Next
BackNext
(We provide care in the home, nursing facilities, and hospitals.)
Nassau
Suffolk
Queens
Check all that apply
Private insurance (e.g., GHI-HIP, Aetna, BlueCross BlueShield)
Out of pocket (private pay)
Medicaid
Medicare
None
NOT SURE
Immediately (within 24 – 48 hours)
This Week
This Month
Free Text Relay for people with hearing loss or a speech disability
Please list most recent employer first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here.
List skills you possess and believe are pertinent to the position you seek, such as computer skills, fluency in language, supervisory skills.
List persons who know your work professionally, excluding supervisors
I certify that answers given herein are true and complete to the best of my knowledge.I understand that, in the event of employment, false or misleading information given in my application or interview may result in discharge.I authorize investigation of all references and statements contained in the application for employment as may be necessary in arriving at an employment decision.I understand that after meeting all other job prerequisites, and after I am offered a job, employment will be contingent upon satisfactory outcome of a medical examination and criminal background check.I understand that my employment may be terminated at any time, without liability to me for wages and salary except as have been by me at the date of such termination.
Access Home Care an approved provider of the NY State Department of Health Traumatic Brain Injury and Nursing Home Transition Diversion Waiver.