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RCFE Admission Agreement

$129.00

Need an updated RCFE Admission Agreement? Due to many 2014 and 2015 laws passed, your RCFE Admission Agreement will be out of compliance unless you updated it. Order yours today.

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What is the RCFE's legal name (ie. name of your LLC or corporation or your name if sole proprietor )? *

What is the "Doing Business As" name of your RCFE? *

What is the License Number of your RCFE?

What is the Address for your RCFE? *

What is the Phone number of your RCFE? *

Will you provide resident transportation? If so, we normally suggest once per week within a 10 radius. Beyond that, you arrange a taxi at their cost. Yes/No or suggest other. *

Escort Service to appointments? If a resident needs to have an escort assist them to appointments/wait, we suggest $20/hour as optional charge. Yes/No or suggest other? *

Incontinence care? Once a resident become incontinent on a regular basis, it can get expensive. So we suggest incontinence care (does not include product) at $300/mo. Yes/No, other suggestion? *

Total

Categories: Home Products, RCFE Administrator Materials

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New laws are effective January 1, 2015 – is your RCFE Admission Agreement updated?

Due to many new bills passed and effective in 2014 and 2015, your Admission Agreement may be out of compliance.

The RCFE Admission Agreement is a pdf file that allows you to type in resident information and more for a professional looking agreement. The agreement is customized with your facility information and optional charges.
Your RCFE Admission Package will be delivered to you by email for fast service.

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RCFE Admission Agreement

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