Care Giver Application

Newborn Care Specialists, Doulas,

Night Nannies, RN’s, LPN’s  and Baby Nurses 

use this application to be referred out by Exclusively Baby Nurses. 

1.  Fill out this form!

2.  Take our online test  You have one hour to complete this quiz.  It is timed.  You will receive your score at the end.  You must have 80% correct to pass.

3.  Referral Agreement  sign and return to be referred by  Exclusively Newborns/Exclusively Baby Nurses. 

Client understands and acknowledges that Exclusively Baby Nurses does not provide background clearance information with the attached profile. Client shall be responsible for ensuring the accuracy of the information each temporary caregiver candidate provides. Client shall, at Client’s sole cost and expense, indemnify Exclusively Baby Nurses, from and against all liabilities, claims and damages (whether known or unknown) arising from or related to Client’s negotiation or employment of any temporary caregiver. To the fullest extent permitted by law, Client knowingly waive all claims, causes of action and damages (whether known or unknown) against Exclusively Baby Nurses arising from or related to Client’s negotiation or employment of any temporary caregiver, or any act or omission of any temporary caregiver. I have read and understand the terms of this Understanding and Release.