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How to use or fill out Referral and placement fee agreement - California Home for Seniors with our platform
- Click ‘Get Form’ to open the Referral and Placement Fee Agreement in the editor.
- Begin by filling in the RCFE Facility Name, Address, City, State, ZIP, Phone, Fax, Email, and Website. Ensure all contact information is accurate for effective communication.
- Review Section 1 regarding AHS's referral process. Familiarize yourself with the obligations of both parties concerning acceptance notifications and payment timelines.
- In Sections 4 through 8, carefully note the payment terms and conditions. Fill in any applicable details regarding fees associated with resident placements.
- Complete the Facility Representative section at the end of the document. Ensure that you print your name, title, sign, and date it accurately.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2010 | 4 Satisfied (23 Votes) |
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