Field Clinician Application
Join our CHAP-Accredited Miami-Dade Home Health Network
First Name *
Last Name *
Cell Phone *
Email Address *
Clinical Discipline / Specialty *
Physical Therapist
Physical Therapist Assistant
Occupational Therapist
Occupational Therapist Assistant
Registered Nurse
Licensed Practical Nurse
Advanced Practice Registered Nurse
Home Health Aide
Certified Nursing Assistant
Speech Pathologist
Medical Social Worker
Respiratory Therapist
Applying as:
Florida State License ID *
License Expiration Date *
Primary Miami-Dade ZIP *
Languages Spoken
Compliance notice:
Ameri-Care is a CHAP-accredited, Florida AHCA-licensed home health agency operating under Medicare Conditions of Participation (42 CFR §484). All clinical and caregiver applicants must pass a Florida Level 2 background screening (background check + fingerprinting per F.S. §435), provide current, unrestricted licensure/certification where applicable, and complete agency-required competency and orientation training before assignment. Submitting this form does not guarantee employment or licensure verification approval.
Submit Application for Compliance Review