Testimonials
"My mother loves her home health aide."
"When I had Special Touch send me a home health aide I got the help I needed and I gained a friend."
Special Touch Application Forms
All Special Touch applicants must fill out a significant amount of paper work in order to complete their personal file and for us to select those who would best meet the requirements to work as home health aides. We would like to utilize more of the time you are applying with talking to you rather than you sitting in our office filling out paperwork. For this reason, below you will find much of the paperwork for you to print out and complete before you come to the office. Do not forget, you also must bring in your Social Security Card and government issued photo ID (work authorization if needed) and your original HHA certificate if you have one.
We take applications at our main office Monday – Friday from 9am – 3pm:
Brooklyn, NY 11223
To view the applications you must use a .PDF viewer. Click below to download it.
1. All applicants must fill out the Special Touch Application. Choose the one that is appropriate for you.
- If you are a certified HHA this application is for you
- If you wish to attend our free HHA training program this application is for you
- If you are a Spanish-speaking certified HHA this application is for you
- If you are Spanish speaking and wish to take our free training program this application is for you
2. All applicants need to provide references. We need a minimum of 2. If you have employment history and/or history of employment with a home care agency we need you to supply those references. Fill out the top portion and either leave the bottom blank or have the person giving the reference fill out the bottom. Be sure to include their name, address and phone number because we will need to verify the reference. References can not be from family members. Personal references should be from people of some status such as landlord, priest, teacher, etc.
- Click here to download the business reference form
- Click here to download the personal reference form
3. In order to work as a home health aide, all employees must complete a recent pre-employment medical. This includes a physical, 2 step PPD, Rubella Titre, Rubeola Titre and a workplace drug screen. Below is our pre-employment medical form. Please have your doctor fill out the information completely.
4. All employees must fill out an I-9 form to become employed. We will check ID when you arrive but you can get the form started now.
5.All employees must fill out a W-4 form also.
6.We must use your information to fill out paperwork in our office. We have created a form for you to fill in this information so that we can complete that paperwork. Please fill it in completely.
Thank you for taking this time to fill out this paperwork before coming to the office. This will help speed up the process of you getting to work and help us focus on getting to know you. We look forward to seeing you soon.