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HOME HEALTH AIDE COMPETENCY EXAM

Our 2019 edition is the Council’s fifth revision of this exam. Our exam is divided into ten sections to ensure coverage of all the subject areas required by Center for Medicare and Medicaid Services’ (CMS) Conditions of Participation for Home Health Agencies.

Council members can purchase the English version of the test for $250 and the cost for non-members is $550.

We are pleased to also offer this examination in Spanish, Portuguese and Russian to Council members for $500. Non-members can purchase the translated exams for $850.

ORDER FORM

Name ________________________________________________________

Agency ________________________________________________________

Address ________________________________________________________

Phone _________________ Email ________________________________

English Version- $250 for members/ $550 for non-members __________________ (PDF)

Spanish Translated- $500 for members/ $850 for non-members _______________ (PDF)

Portuguese Translated- $500 for members/ $850 for non-members ____________ (PDF)

Russian Translated- $500 for members/ $850 for non-members ____________ (PDF)

Total: ________________

Payment Information:

Checks can be made payable to: Home Care Aide Council

P.O. Box 6828

Holliston, MA 01746

To pay by credit card, please complete back of form and forward to the Council office by mail or email to jwattfaqir@.

HOME HEALTH AIDE COMPETENCY EXAM ORDER FORM

To Pay by Credit Card:

Please check one:

American Express MasterCard VISA

(3 or 4- digit security code) Exp. Date / (Month/Year)

Card Number

Cardholder’s Name

Billing Address

City State Zip

Signature

If you have any questions or would like to learn how you can become a Council member, contact Julie Watt Faqir, Executive Director at 857-404-6766 or visit our website, .

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