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Client Service Agreement NEW - Constant …

P: Start Date: Client Name: Live In Live Out Client Address: Guarantor/Conservator Rate: $ /Hour and/or $ /Day Soc. Sec. #: Phone: This Agreement is to inform you of Constant Companions Home Care s policies and the type of Service you will be receiving. Please read the following items carefully. Signing the caregiver s timesheet constitutes full Agreement to the following: If you do not agree with the terms of this contract, do not use the Service and immediately contact Constant Companions Home Care at 1. The Client /conservator acknowledges that the caregivers are paid by Constant Companions Home Care.

P: 858.722.9352 Start Date: Client Name: Live In Live Out Client Address: Guarantor/Conservator Rate: $ /Hour and/or $ /Day

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