Remain in
compliance
with our
convenient
forms
online!
FORMS
      

TIME SHEETS:  Time sheets are due in our office on Mondays by 12 noon.  All time
sheets received after that time will be processed on the following pay period.  Time sheets
can be mailed, dropped off, or faxed.  Time sheets that are faxed must be mailed to the
office by the end of the current month.  Not mailing original time sheets will delay
paychecks.

PERMANENT PLACEMENT:   We provide permanent placement with our clients.  When
you accept an assignment, this will be your permanent assignment, unless told otherwise,
that you will be scheduled to see on a regular basis.  If you are sick or otherwise unable to
see your clients on any given day, you must follow the protocol for cancellation
outlined in your policy and procedure booklet.  Another employee will fill-in for you until you
are able to return to work.

Cell Phone Use:  All Cell Phones must be set to the vibrate setting while working with a
client.  All calls must be kept to a 2 minute minimum and used only in cases of an
emergency.  If, in an emergency, you must use the client’s telephone, consent must be
obtained first from the client and must be kept to a 2 minute minimum.

UNDER NO CIRCUMSTANCES MUST LONG DISTANCE CALLS BE MADE ON THE
CLIENTS TELEPHONE.  IF YOU ARE WORKING OUT OF THE AREA AND YOU NEED
TO CONTACT THE OFFICE, PLEASE USE OUR TOLL-FREE NUMBER THAT IS
FOUND ON THE FRONT COVER OF THE BLUE FOLDER FOUND IN THE CLIENT’S
HOME.  YOU WILL BE CHARGED FOR THE CALL IF YOU USE THE CLIENT’S
TELEPHONE FOR A LONG DISTANCE CALL
The following are forms to be used during your employment with
Nurse Management Services
Employee Time Sheets
State Tax Form
Client Referral Form
Employee Absence Request
Tax Form (W4 Form)
Direct Deposit Form
SUNTRUST BANK SIGN UP FORM
Employee Split Shift Time Sheets
Employee Refusal of Care Form
Employee Accident Report Form
Employee change Info Form
Client Incident Report Form
Employee Referral Form
New Applicant Background Check Consent
Form
Gainesville Timesheets
Gainesville Split Shift Time sheet
NURSE MANAGEMENT SERVICES OF GEORGIA, INC.
In-Home Nursing & Pediatric Care