How quickly can services begin after applying for care and Medicaid approval?

Service start times vary based on eligibility and documentation. Once approved under the Medicaid waiver program, care typically begins within a few business days.

What types of professionals provide care through AMD Healthcare Services?

Our care team includes licensed nurses, certified caregivers, and trained personal care assistants who deliver both medical and community-based support tailored to each client's needs.

Does AMD Healthcare Services provide both in-home and community care options?

Yes. We offer in-home care, respite care, supported living, and transportation services to ensure clients receive consistent care across different settings and daily routines.

Employment Application Form - AMD Healthcare Services

Step 1 of 5 - Applicant Information

20%

Full Name(Required)

First Middle Last

Application Date(Required)

MM slash DD slash YYYY

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone Number(Required)

Date Available(Required)

MM slash DD slash YYYY

Desired Pay

Pay Type(Required)

Hourly

Salary

Position Applied For(Required)

Employment Desired

Full-Time

Part-Time

Seasonal

Other

Are you legally eligible to work in the U.S.?(Required)

Yes

Have you ever worked for this employer?(Required)

Yes

Previous Employment Start Date

Previous Employment End Date

High School

City / State

From

Did you graduate high school?

Yes

Diploma

College

City / State

From

Did you graduate college?

Yes

Degree

Additional Education / Training 1

School / Institution

City / State

From

Degree / Certificate

Additional Education / Training 2

School / Institution

City / State

From

Degree / Certificate

Employer 1

Employer / Company Name

Phone Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Starting Pay

Starting Pay Type

Hourly

Salary

Ending Pay

Ending Pay Type

Hourly

Salary

Job Title

Responsibilities

Employment From

Employment To

Reason for Leaving

Employer 2

Employer / Company Name

Phone Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Starting Pay

Starting Pay Type

Hourly

Salary

Ending Pay

Ending Pay Type

Hourly

Salary

Job Title

Responsibilities

Employment From

Employment To

Reason for Leaving

Employer 3

Employer / Company Name

Phone Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Starting Pay

Starting Pay Type

Hourly

Salary

Ending Pay

Ending Pay Type

Hourly

Salary

Job Title

Responsibilities

Employment From

Employment To

Reason for Leaving

Professional References 1

Full Name

First Last

Relationship

Company

Title

Phone

Professional References 2

Full Name

First Last

Relationship

Company

Title

Phone

Professional References 3

Full Name

First Last

Relationship

Company

Title

Phone

Military Service

Have you served in the U.S. Armed Forces?(Required)

Yes

Branch

From

Rank at Discharge

Type of Discharge

If other than honorable, please explain

Background Check Authorization(Required)

I authorize AMD Healthcare Services to conduct a background check as part of the employment process.

Applicant Certification

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false or misleading information may affect my eligibility for employment.

Background Check Authorization(Required)

I have read and agree to the applicant certification above.

Signature(Required)

Print Name(Required)

First Last

Date(Required)

MM slash DD slash YYYY

Employment Application Form