Other Items to Complete or Acknowledge

Equal Employment Opportunity and Diversity Policy Statement

Please read this policy no matter what category you fall into.

Please be sure to expand and read all sections.

Dress Code

Please read these guidelines no matter what category you fall into unless you will NEVER be working at an NKY Health site AND will never have face-to-face interaction with anyone on behalf of NKY Health.

Please use the links to access the work attire policy and dress code guidelines and be sure to expand and read all sections of both.

If you skip this item, please write N/A.

Photo and Image Consent

NKY Health may record, videotape and photograph my image and/or voice and use it for marketing, public relations, and employment relations purposes including but not limited to::

• Company sites accessible by employees only.

• Company and partner websites accessible to the public.

• Employee newsletter.

• Board newsletter.

• Annual report.

I understand that:

• No special compensation will be provided to me for use of my image.

• I may not be informed in advance of the specific use of my image.

• I may opt out by completing and submitting the Opt Out of Photo and Image Consent form to the left.

• If I do not opt out, I am giving my consent.

• If I change my mind later, I can either submit a new form or email webmaster@nkyhealth.org and let them know.

• This does NOT include employee ID badges; Employees may not opt out of these.

Site Safety Orientation Checklist

If you are new to NKY Health and meet any of these criteria:

• You are an NKY Health Employee 

• You will be onsite at NKY Health for 40+ hours TOTAL

• The item is on your checklist

Please print this form and have it ready to complete when your orientation supervisor or designee takes you on a tour of the facility.

Each time you work at a different NKY Health facility, please have have this same form ready to complete when the site supervisor or designee takes you on a tour of the facility. 

Please use the scrollbar in the box to view the entire form.

Emergency Contact Information

If you are a student, volunteer or supplemental staff (NOT an NKY Health employee) please use this form and provide contact information for at least one person NKY Health should contact in case of emergency while you are with us.

If you ARE an NKY Health employee please skip this item and provide the contact information in ADP instead.

Note: You don't have to download anything. You can just click inside the box to the left to complete the form.  When you're all finished, please click "Submit."

Waiver and Release of Liability for Injury/Illness

If you are a student, volunteer, or supplemental staff  (NOT an NKY Health employee) please complete and submit this form.  After you submit it, you will need to follow these steps:

1. Go to your email.

2. Open the email titled something like "Lname, Fname Waiver and Release Form" from "NKY Health."

3. Select "Provide Signature."

4. Sign.

5. Select "Submit Signature." 

If you ARE an NKY Health employee please skip this item.

Note: You don't have to download anything. You can just click inside the box to the left to complete the form.  When you're all finished, please click "Submit."

NKY Health Safety Manual Policy and Update Acknowledgment

NKY Health Part-Time Employees and must complete this acknowledgement annually between December 1 and the end of February.

Others should skip it.

Please use the link to access the acknowledgement.

Naloxone Administration Policy

NKY Health Part-Time Employees and Supplemental staff must review and acknowledge this policy annually between December 1 and the end of February.

Please use the links to access policy and be sure to expand and read all sections.

Others may choose to skip it.

NKY Health Naloxone Training

NKY Health Part-Time Employees and Supplemental staff must complete this policy annually between December 1 and the end of February.

Others may choose to skip it.

NKY Health Naloxone Training

NKY Health Part-Time Employees and must complete this acknowledgement annually between December 1 and the end of February.

Others should skip it.

Please use the link to access the acknowledgement.