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Home Health Aide Certification

Thank you for expressing interest in our Home Health Aide Training Program. The course is a free New York State Department of Health approved program that will give you the education and experience you need for a career as a certified Home Health Aide. The course will begin on Monday, August 2, 2021 through Friday, August 13, 2021 from 8:30am to 4:30pm for a total of 75 hours of instruction. Perfect attendance is mandatory.

Below you will find all of the necessary forms to complete and submit to be interviewed for the course.

  1. Home Health Aide Training Program Application – please complete the entire application, sign, and date.
  2. Home Health Aide Training Program Questionnaire – please complete all questions.
  3. Reference Request Forms – please have three (3) of your references complete the entire form. One reference must be a prior employer. Please be sure that the contact information is current.

Download All Forms

Please return the completed forms to the main reception desk at Peconic Landing as soon as possible. Forms can also be faxed to 631-477-2596. You may be called for an appointment for an interview.

To enter the training program, applicants must have a physical examination; provide documentation of immunizations and results of a current PPD (tuberculosis test).

Applicants must pass a criminal history record check done by PLHHS and have a clean, valid New York State driver’s license.

If you have any questions, please call us at 631-477-2146.

Susan Croce, Administrator

Contact Peconic Landing

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