{"id":282,"date":"2023-01-03T01:41:27","date_gmt":"2023-01-03T01:41:27","guid":{"rendered":"https:\/\/www.triflexsigroup.com\/?page_id=282"},"modified":"2023-01-03T01:41:27","modified_gmt":"2023-01-03T01:41:27","slug":"employee-consent-form","status":"publish","type":"page","link":"https:\/\/www.triflexsigroup.com\/index.php\/employee-consent-form","title":{"rendered":"Employee Consent Form"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-279\"><form id=\"wpforms-form-279\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"279\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/282\" data-token=\"cc43fa547ed79c2ae3482c43a3804fae\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-279-field_11-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-279-field_11\">Enter your name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-279-field_11\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][11][first]\" required><label for=\"wpforms-279-field_11\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-279-field_11-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][11][last]\" required><label for=\"wpforms-279-field_11-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-279-field_12-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"12\"><div id=\"wpforms-279-field_12\">As an employee of <b>Tri-Flexsi Home Health Care<\/b>, I hereby consent to the release of the following information to <b>Tri-Flexsi Home Health Care<\/b>.<\/div><\/div><div id=\"wpforms-279-field_13-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"13\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-279-field_13\">Checkboxes<\/label><ul id=\"wpforms-279-field_13\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-279-field_13_1\" name=\"wpforms[fields][13][]\" value=\"Professional License\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-279-field_13_1\">Professional License<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-279-field_13_2\" name=\"wpforms[fields][13][]\" value=\"CPR\/BCLS\/ACLS certifications\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-279-field_13_2\">CPR\/BCLS\/ACLS certifications<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-279-field_13_3\" name=\"wpforms[fields][13][]\" value=\"Employment Application\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-279-field_13_3\">Employment Application<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-279-field_13_4\" name=\"wpforms[fields][13][]\" value=\"Health Verification\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-279-field_13_4\">Health Verification<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-279-field_13_5\" name=\"wpforms[fields][13][]\" value=\"References\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-279-field_13_5\">References<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-279-field_13_6\" name=\"wpforms[fields][13][]\" value=\"Skill Checklist\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-279-field_13_6\">Skill Checklist<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-279-field_13_7\" name=\"wpforms[fields][13][]\" value=\"Background Check\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-279-field_13_7\">Background Check<\/label><\/li><\/ul><div class=\"wpforms-field-description wpforms-disclaimer-description\">The above information shall be treated as confidential by <b>Tri-Flexsi Home Health Care<\/b> and shall be released only with the said employee's consent or as required by law.<\/div><\/div><div id=\"wpforms-279-field_10-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"10\"><div id=\"wpforms-279-field_10\">By submitting your name and email address, you acknowledge that you have you agree to the terms and conditions of our employee consent policy.<\/div><\/div><div id=\"wpforms-279-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-279-field_3\">Employee Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-279-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" required><label for=\"wpforms-279-field_3\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-279-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" required><label for=\"wpforms-279-field_3-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-279-field_4-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-279-field_4\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-279-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-279-field_8-container\" class=\"wpforms-field wpforms-field-hidden\" data-field-id=\"8\"><input type=\"hidden\" id=\"wpforms-279-field_8\" name=\"wpforms[fields][8]\"><\/div><div id=\"wpforms-279-field_9-container\" class=\"wpforms-field wpforms-field-hidden\" data-field-id=\"9\"><input type=\"hidden\" id=\"wpforms-279-field_9\" name=\"wpforms[fields][9]\" value=\"216.73.216.83\"><\/div><\/div><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha\"><div class=\"g-recaptcha\" data-sitekey=\"6Le1oDgjAAAAAHCOEX8kj7HfhjAoy3Lp3WBN-oLN\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" style=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\" required><\/div><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"279\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-279\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img src=\"https:\/\/www.triflexsigroup.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.triflexsigroup.com\/index.php\/wp-json\/wp\/v2\/pages\/282"}],"collection":[{"href":"https:\/\/www.triflexsigroup.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.triflexsigroup.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.triflexsigroup.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.triflexsigroup.com\/index.php\/wp-json\/wp\/v2\/comments?post=282"}],"version-history":[{"count":1,"href":"https:\/\/www.triflexsigroup.com\/index.php\/wp-json\/wp\/v2\/pages\/282\/revisions"}],"predecessor-version":[{"id":283,"href":"https:\/\/www.triflexsigroup.com\/index.php\/wp-json\/wp\/v2\/pages\/282\/revisions\/283"}],"wp:attachment":[{"href":"https:\/\/www.triflexsigroup.com\/index.php\/wp-json\/wp\/v2\/media?parent=282"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}