Practitioner Pilot Sign-Up

Please provide your professional and availability details to help us match you with the right care opportunities in Halton.

First Name

Last Name

Preferred Practitioner Type

License/Registration Number (if applicable)

Years of Experience

Preferred Work Hours

Available Start Date

Service Location in Halton

Fill out your information to receive the right care, support, and attention you deserve.

Willing to do Ongoing Work with a client

Yes No

Willing to travel? (Yes/No)

Yes No

Insurance (Yes/No)

Yes No

Are you CPR/First Aide certified?

Yes No

Can you provide us with a TB/Chest xray?

Yes No

Do you have any certifications relevant to home care?

Yes No

Do you have a current COVID vaccination?

Yes No

Do you have a current Police clearance vulnerable sector screening?

Yes No

Upload Resume (PDF, DOC, DOCX only)

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Additional Notes – Any preferences, care background, or special requests.

Caredara. It's a lot. We Care.™ On-demand home care from trusted PSWs, RPNs, and RNs — with no contracts, no minimums, and clear hourly rates.

Caredara™. It's a lot. We care.