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Get and Sign Carestar 2010-2022 Form
The box for each approved task(s).
TASK
JFS 02390 (7/2010)
AHP
INITIALS
TASK
AHP
INITIALS
Page 1 of 3
SKILLED TASKS APPROVAL
DIRECTIONS
Each team member shown below must complete the section that applies to her/his role. The HCA is not approved to perform the listed task(s) until though AHP has initialed the
“Training Detail” page.
CONSUMER/AUTHORIZED REPRESENTATIVE
I, the undersigned have received the necessary training and am electing to select, instruct and direct the Home Care...
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