Private Pay Client Sign-up Packet

Includes:

• Intake Form
• Service Agreement
• Terms and Conditions
• Guarantee of Payment
• Client Bill of Rights
• Client Handbook
• Assignment of Benefits (For Long Term Care Policies)
• Advanced Directive Acknowledgement
• ACH Authorization Form

Bonus

• Senior Care Payer Source Guide (E-book)

NOTE:

• It is your responsibility to make sure any items purchased comply with all local, state, and/or federal regulations or laws that apply to your business.
• We have clients in many countries around the world, as a result, these documents were drafted in a general sense and should be reviewed prior to use.
• All decisions relating to managing your business, services offered, rates charged, or the consequences of those decisions are your responsibility.
• You are solely responsible for any policies and actions as they relate to your staff, including assigning pay rate and work schedules.
• There are no refunds for completed works.
• This is a completed work.