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GALAXY
  • Home
  • About
  • Services
    • Skilled Medical Services
      • Prescription Refill and Management
      • Open Wound Dressing
      • 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
      • Speech fluency/ articulation
      • Cognitive communication
    • Medical Social Worker
      • Providing adequate resources for clients in the community
      • Short/long term planning of care
      • Adequate clients follow up
    • Home Health Aide
      • Medication reminders
      • Personal Care; Bed bath, using lift.
      • Vital signs monitoring & Report to Clinical Nurse
      • Certain housekeeping
      • Safety Supervision during Seizure
      • Symptom monitor and report to Clinical Nurse
      • Mobility support
    • Physical Occupational Therapy
      • Restore Function
      • Improve Mobility & Strength
      • Aid inside/outside ambulation
      • Range of motion, Positioning & Transfers
      • Control disabilities
      • Balancing & Gait
      • Promote ADL functions
      • Create an exercise plan
      • Promote Overall fitness
  • 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
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  • Employement
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GALAXY
  • Home
  • About
  • Services
    • Skilled Medical Services
      • Prescription Refill and Management
      • Open Wound Dressing
      • 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
      • Speech fluency/ articulation
      • Cognitive communication
    • Medical Social Worker
      • Providing adequate resources for clients in the community
      • Short/long term planning of care
      • Adequate clients follow up
    • Home Health Aide
      • Medication reminders
      • Personal Care; Bed bath, using lift.
      • Vital signs monitoring & Report to Clinical Nurse
      • Certain housekeeping
      • Safety Supervision during Seizure
      • Symptom monitor and report to Clinical Nurse
      • Mobility support
    • Physical Occupational Therapy
      • Restore Function
      • Improve Mobility & Strength
      • Aid inside/outside ambulation
      • Range of motion, Positioning & Transfers
      • Control disabilities
      • Balancing & Gait
      • Promote ADL functions
      • Create an exercise plan
      • Promote Overall fitness
  • 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
  • SanData
    • 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

1330 South Potomac Street,
Unit 118, Aurora, CO 80012
info@galaxyhhco.com
720-484-5706

Services

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

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Copyright © 2022 GalaxyHomeHealth All rights reserved | Design & Developed by GrowSmart
  • Home
  • About
  • Services
    • Skilled Medical Services
      • Prescription Refill and Management
      • Open Wound Dressing
      • 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
      • Speech fluency/ articulation
      • Cognitive communication
    • Medical Social Worker
      • Providing adequate resources for clients in the community
      • Short/long term planning of care
      • Adequate clients follow up
    • Home Health Aide
      • Medication reminders
      • Personal Care; Bed bath, using lift.
      • Vital signs monitoring & Report to Clinical Nurse
      • Certain housekeeping
      • Safety Supervision during Seizure
      • Symptom monitor and report to Clinical Nurse
      • Mobility support
    • Physical Occupational Therapy
      • Restore Function
      • Improve Mobility & Strength
      • Aid inside/outside ambulation
      • Range of motion, Positioning & Transfers
      • Control disabilities
      • Balancing & Gait
      • Promote ADL functions
      • Create an exercise plan
      • Promote Overall fitness
  • 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
  • SanData
    • EVV
  • Form