CMS Documents & Forms

All the forms below are in Adobe Portable Document Format (PDF).

401k Enrollment Form

Benefits Enrollment Form

Benefits Guide and Agreement

2012 Medical Benefit Plans and Benefit Agreement, click for more information

Clinical Performance Review

To be completed annually by a clinical supervisor

Direct Deposit Form

Incident Report Form

Internal Staffing Firm Review

Loyalty Bonus Program Review Criteria

Ishihara Color Blindness Test Answer Sheet

To take the Ishihara test online, click here.

Payroll Instructions

Instructions to view your payroll and benefits

Reference Form

Two clinical references are required upon hire - must be completed by a supervisor

Resume Template

If you do not already have a resume, here is a great place to start

TB Questionnaire

TB Questionnaire for Pregnant Associates

Time Slips

Verification of Annual Educational Competencies

Government Forms

IRS Form W-4

Employee’s Federal Withholding Allowance Certificate

Maryland Form MW 507

Employee’s Maryland Withholding Exemption Certificate

Note: Many government forms can be filled in electronically using Adobe Reader and then printed for signature. For assistance filling in PDF forms with Adobe reader, please see the online Adobe Reader Help.