Forms

• Vitalis Complaint Form
  • Use the Vitalis Complaint form to register a complaint about the quality of service being rendered by Vitalis caregiver
• Vitalis Incident Report Form
  • Use the Vitalis Incident form to report any significant events to be brought to the attention of the Agency administration such as falls, abuse, etc
• Illness Report Form
  • Use the Vitalis Illness / Infections report form to occasion illness or infections experienced by a client or aide 
• Vitalis Leave / Absence Form
  • Caregivers please use this for to call out of a shift, request for a leave or absence. You can also use this form to give the agency your 2-weeks notice prior upon resignation. 
• Vitalis Refer A Client Form
  • Do you know someone needing home health care in Maryland. Use this form to refer the client or to contact us about our new client referral program.
• Vitalis Refer A Caregiver Form 
  • Do you know someone needing a job as home health aide in Maryland. Use this form to refer a potential aide to the agency or to contact us about our new staff referral program