CHHA Registration Form
Certified Homemaker Health Aide Training
 
Name:
Email:
Address:
State
Zip Code:
Cell Number:
Home Phone:


Will pay an application fee of $70.00 to the Board of Nursing
  Check - Money Order or Cash made out to:
SmartChoice Home Health Agency, Inc.
  Check
 


Money Order

  Mail to:
SmartChoice Home Health Agency, Inc.
39-40 Broadway
Fair Lawn, NJ 07410

To register or get more information:
Call
Judge Yvette
HR/ Training Coordinator
or
Julie Moore
Executive Assistant
201-796-0770

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