Job Application

Background Study Consent Form

Personal Information

This information is being requested as part of a background study initiated by G&H of Greater Minnesota, Inc. (dba: 4U Home Health Care) and 2Care4U, LLC, which is required by the Minnesota Department of Human Services (DHS), to determine employment eligibility.


I know that state and federal privacy laws protect my records. I also know that I do not have to consent to the release of this information, however if I do not consent, the required background study process will not be completed.

G&H of Greater Minnesota

GNHIt is the mission of G & H of Greater Minnesota, Inc. to provide members of our community, who have health care needs, with well-trained and compassionate caregivers therefore enabling them to remain in their own homes.