A 3-page Word checklist to record each orientation topic presented to new home care staff.

For USA non-medical home care agency owners, trainers, and supervisors. Plus 1 agency instructions page to remove before use.

What’s included

1. Page 1: employee, trainer, and dates, plus Section A topics for all staff (policies, client rights, abuse reporting, privacy basics, emergencies, infection control, and more)
2. Page 2: Section B field staff topics and Section C office staff topics
3. Page 3: orientation hours, employee acknowledgment, trainer sign-off, and Agency Use Only
4. Agency instructions page, to remove before use

Add your logo and name

1. Open the Word file and replace the Your Logo Here box with your logo.
2. Replace Agency Name in the letterhead; the body says “the Agency,” so no other name edits are needed.
3. Replace the Street Address, City, State ZIP line and the Phone, Email, Website line with your details.
4. Set the letterhead text to black, delete the instructions page, and save.

Customizable template, not legal advice; check your state’s requirements. Not a license to operate, not HIPAA software, and no medical claims. This checklist records topics presented; it does not certify training. Add your state’s required topics and hours.