Client Service Agreement-Home Nursing

Form Template

This mobile application allows users to fill out information on client service agreement form.

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The client service agreement is for a home nursing agency. Terms that be agreed upon will be, agency compliance, consent for care, plan of treatment, time period, payment, bill rate and deposit, holidays, service interruption, release of liability, hiring agency agency employees, termination, compliant resolution process, advance directives, authorization to release information, emergency procedure, and agency contact information.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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