Click here for instructions on how to complete this form

 Haga clic aquí para completar este formulario en español

ABC Report

  • Clinical ABC

  • My Patient is:

    Go take your medications
  • Activity

  • Patient Info

  • Please enter a number from 000 to 9999.
  • Please enter a number from 10 to 999.
  • Please enter a number from 1 to 999.
    Enter either 1,2, or 3 digits, the first one for minutes and the last 2 for seconds. For example, 1 minute and 30 seconds would be entered as 130

Employment verification
All work verifications can be emailed to: workverification@elitehc.net

Commercial use: 800-367-5690
Government & Social Agencies: 800-660-3399
Employer Code: 20306
Homecare Work Authorizations Only: workverification@elitehc.net