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DIRECT CARE STAFF UPLOADS

Consumer: Provider Agreement

Provider Agreement for Services Rendered

I,
as provider agree to the time of
at this address
with this Consumer:
This agreement is understood and agreed upon by the provider and the Consumer receiving the service:

Director's Signature




Date:

Trinity Omniscient Care, Service provider for the disabled on the treasure coast of florida

Serving developmentally and physically disabled persons throughout the Treasure Coast

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