Page 35 - Ranger Home Care - Client Handbook
P. 35
I confirm that I have received, understood, and agree to this Contract and the Terms and Conditions contained therein.
Client Name: Signature of Client: Address of Client:
Date:
Or
Legal Representative Name:
Signature of Legal Representative:
Address of Legal Representative: Date:
Please ensure you send your LPA to admin@rangerhomecare.com
On behalf of:
Ranger Home Care Representative:
Signature of Ranger Home Care Representative: Date:
