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        • Evaluation/Diagnosis/Prevention of speech impairment
        • Swallow evaluation and management
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      • Medical Social Worker
        • Providing adequate resources for clients in the community
        • Implement Short/long term planning of care
      • Physical Therapy
        • Improve Mobility & Strength
        • Aid inside/outside ambulation
        • Range of motion, Positioning & Transfers
        • Balancing & Gait
        • Create an exercise plan
      • Occupational Therapy
        • Restore Function
        • Promote ADL functions
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        • Medication reminders
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        • Mobility support
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    • Clinical Manager Job Description Form
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    • LPN Competency Job Description Form
    • MSW Competency Job Description Form
    • Occupational Therapist Assistant Job Description Form
    • Occupational Therapist Job Description Form
    • Physical Therapist Assistant Job Description Form
    • Physical Therapist Job Description Form
    • RN Job Description & Performance Evaluation & Competency Form
    • Speech Therapist Job Description Form
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GALAXY
  • Home
  • About
  • Services
    • Skilled Services
      • Nursing Services
        • Wound Care
        • Ostomy Care
        • Catheter Care
        • G-Tube Feeding
        • Vital Signs Monitoring And Report To PCP Doctor
        • Safety Supervision
        • Symptom Monitoring
        • Mobility Support
      • Speech Therapy
        • Evaluation/Diagnosis/Prevention of speech impairment
        • Swallow evaluation and management
        • Cognitive communication
      • Medical Social Worker
        • Providing adequate resources for clients in the community
        • Implement Short/long term planning of care
      • Physical Therapy
        • Improve Mobility & Strength
        • Aid inside/outside ambulation
        • Range of motion, Positioning & Transfers
        • Balancing & Gait
        • Create an exercise plan
      • Occupational Therapy
        • Restore Function
        • Promote ADL functions
    • Non-Skilled Services
      • Home Health Aide
        • Medication reminders
        • Vital signs monitoring & Report to Clinical Nurse
        • Mobility support
  • Forms
    • Administrator Competency & Job Description Form
    • Clinical Manager Job Description Form
    • Home Health Aide Competency & Job Description & Skill Validation
    • LPN Competency Job Description Form
    • MSW Competency Job Description Form
    • Occupational Therapist Assistant Job Description Form
    • Occupational Therapist Job Description Form
    • Physical Therapist Assistant Job Description Form
    • Physical Therapist Job Description Form
    • RN Job Description & Performance Evaluation & Competency Form
    • Speech Therapist Job Description Form
  • Resources
  • Employement
  • Alora/EVV
    • Alora
    • EVV
GALAXY > Forms

Forms

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Skilled Patent Admission Packet

  • Agency Disclosure Notice
  • Assignment of Service Replacement Levels For Clients in Emergencies
  • Care Coordination Note for Patients
  • Consent Form
  • Consent to Photograph
  • Home Health Change of Care Notice
  • Home Environment and Emergency Preparedness Assessment
  • Notice of Medicare Non-Coverage
  • Patient Advance Directives Statement
  • Patient Handbook
  • Patient RIghts and Responsibilities
  • Written Notice of Home Care Consumer Rights

Initial Competency

  • LPN
  • Occupational Therapist Assistant
  • Occupational Therapist
  • Physical Therapist Assistant
  • Physical Therapist
  • Registered Nurse
  • Speech Therapist
  • Social Worker

Annual Competency

  • LPN
  • Occupational Therapist Assistant
  • Occupational Therapist
  • Physical Therapist Assistant
  • Physical Therapist
  • Registered Nurse
  • Social Worker
  • Speech Therapist
  • Home Health Aide

Performance Evaluations

  • LPN
  • Occupational Therapist Assistant
  • Occupational Therapist
  • Physical Therapist Assistant
  • Physical Therapist
  • Registered Nurse
  • MSW
  • Speech Therapist
  • Home Health Aide
  • Administrator
  • Clinical Manager

Non-Skilled Forms

  • Client’s Home Supervisory Visit
  • HCBS/Personal Care Provider Supervisory Visit
  • Personal Care Worker Evaluation

Employee Performance Evaluations

  • Agency Director Employee Performance Evaluations
  • Alternate Agency Director Employee Performance Evaluations
  • CFO/Vice President of Finance Employee Performance Evaluations
  • Chief Operations Officer Employee Performance Evaluations
  • Companion Employee Performance Evaluations
  • Director Of MIS Employee Performance Evaluations
  • HR Coordinator Employee Performance Evaluations
  • Personal Care Worker Employee Performance Evaluations
  • HR Manager Employee Performance Evaluations
  • Intake Coordinator Employee Performance Evaluations
  • Office Manager Employee Performance Evaluations
  • Payroll Assistant Employee Performance Evaluations
  • Payroll Manager Employee Performance Evaluations
  • President Employee Performance Evaluations
  • Scheduling Coordinator Employee Performance Evaluations
  • Supervisor Employee Performance Evaluations

We do whatever it takes to bring
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Our Location

Galaxy Home Health LLC
25567 E 4th Ave,
Aurora, CO 80018
info@galaxyhhco.com
Mobile: 720-484-5706
Fax: 720-222-6400

Services

  • Skilled Medical Services
  • Speech Therapy
  • Medical Social Worker
  • Home Health Aide
  • Physical Therapy

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Copyright © 2022 GalaxyHomeHealth All rights reserved | Design & Developed by GrowSmart
  • Home
  • About
  • Services
    • Skilled Services
      • Nursing Services
        • Wound Care
        • Ostomy Care
        • Catheter Care
        • G-Tube Feeding
        • Vital Signs Monitoring And Report To PCP Doctor
        • Safety Supervision
        • Symptom Monitoring
        • Mobility Support
      • Speech Therapy
        • Evaluation/Diagnosis/Prevention of speech impairment
        • Swallow evaluation and management
        • Cognitive communication
      • Medical Social Worker
        • Providing adequate resources for clients in the community
        • Implement Short/long term planning of care
      • Physical Therapy
        • Improve Mobility & Strength
        • Aid inside/outside ambulation
        • Range of motion, Positioning & Transfers
        • Balancing & Gait
        • Create an exercise plan
      • Occupational Therapy
        • Restore Function
        • Promote ADL functions
    • Non-Skilled Services
      • Home Health Aide
        • Medication reminders
        • Vital signs monitoring & Report to Clinical Nurse
        • Mobility support
  • Forms
    • Administrator Competency & Job Description Form
    • Clinical Manager Job Description Form
    • Home Health Aide Competency & Job Description & Skill Validation
    • LPN Competency Job Description Form
    • MSW Competency Job Description Form
    • Occupational Therapist Assistant Job Description Form
    • Occupational Therapist Job Description Form
    • Physical Therapist Assistant Job Description Form
    • Physical Therapist Job Description Form
    • RN Job Description & Performance Evaluation & Competency Form
    • Speech Therapist Job Description Form
  • Resources
  • Employement
  • Alora/EVV
    • Alora
    • EVV
  • Form