Elite Care Management Employee Forms


Please select from the forms below to download the required forms. After filling out the form please either fax it or email it back.

Fax: 630-548-0541


To apply for a job opening please click here


COVID-19 Forms

Employee COVID-19 Screening Questionnaire

Employee Travel Questionnaire


Employee PTO Request Form

Employee Job Satisfaction Survey

Federal – Employee Withholding Form (W4)

Federal – Employment Eligibility Verification Form

Illinois – Employee Withholding Form (W4)

Health Care Worker Background Check

Chemical Screening Consent and Release Form

Professional Boundaries

Influenza Vaccine Information and Acknowledgement

HIPAA Service Agreement

Employee Contact Form

Employee Code of Ethics-Conduct

Elite Care Management Direct Deposit Form

Elite Care Management Employment Verification

Elite Care Management Confidentiality Agreement

Elite Care Management Incident Reporting

Elite Care Management Dress Code

Elite Care Management Documentation Instructions

Elite Care Management Conditions of Employment

Axxess Electronic Signature Policy


Continuing Education/Testing

Educational Materials Test
HIPAA Learning Materials HIPAA Test
C. difficile Prevention Test Learning Materials C. difficile Prevention Test
Guidelines for Providing Personal Care Guidelines for Providing Personal Care Test
Depression and Anxiety Depression and Anxiety Test
Diabetes Diabetes Test
Understanding Pain Understanding Pain Test
Incontinence and Constipation Incontinence and Constipation Test