Policy Manual sample

MDT Home Health Care Agency, Inc. POLICY AND PROCEDURE STATEMENT OF ORIENTATION COMPLETION (Non-Nursing Staff Personnel) This is to testify that ( e m p l o y e e n a m e ) h a s successfully completed the required orientation and is now qualified to proceed with his/her routine job functions. The orientation was conducted on the day of , . Signed: Administrator Date: I have read and understand the policies and procedures of the agency and have had the opportunity to have all of my questions/concerns addressed to my complete satisfaction. I agree to abide and uphold all policies and procedure, and have been advise that failure to do so may result in termination of employment. I also agree that as a condition of employment that I will provide the agency with a fourteen (14) day written notice of intent to terminate employment. _____________________________ __________ EMPLOYEE SIGNATURE/TITLE DATE _____________________________ __________ WITNESS SIGNATURE DATE Home Health Agency. - - Personnel/Operations Policies B-33