Agreement for Home Health Care Services

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					                           Agreement for Home Health Care Services

        Agreement made on the (date), between (Name of Client) of (street address, city,
county, state, zip code), referred to herein as Client, and (Name of Nursing Agency), a
corporation organized and existing under the laws of the state of ______________, with its
principal office located at (street address, city, county, state, zip code), referred to herein as

1.      Nursing Services and Rates
        Agency agrees to furnish Client with the services of a (certified nursing assistant or
registered nurse or nurse assistant) at the rate of $________ per hour and to also include
(number) cents per mile as well as $_______________ shift differential for shift changes as well
as $_____________ for a cancellation fee for services canceled with less than (number) hours
notice. Time and a half will be charged on the following holidays: (list holidays).

2.     Weekly Billing
       Agency will bill Client on a weekly basis and Client agrees that the work week will extend
from (day of week) to (day of week) from (time or day) to (time of day).

4.       Client Charges
         Client agrees to pay _________% interest per month on all amounts not paid within
(number) days of the statement. Client agrees to pay all reasonable attorneys' fees and court
costs in cases of col
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Description: This is an agreement between a home health care agency and an individual to provide home health care services to that individual.
PARTNER William Glover
I received my B.B.A. from the University of Mississippi in 1973 and my J.D. from the University of Mississippi School of Law in 1976. I joined the firm of Wells Marble & Hurst in May 1976 as an Associate and became a Partner in 1979. While at Wells, I supervised all major real estate commercial loan transactions as well as major employment law cases. My practice also involved estate administration and general commercial law. I joined the faculty of Belhaven College, in Jackson, MS, in 1996 as Assistant Professor of Business Administration and College Attorney. While at Belhaven I taught Business Law and Business Ethics in the BBA and MBA programs; Judicial Process and Constitutional Law History for Political Science Department); and Sports Law for the Department of Sports Administration. I am now on the staff of US Legal Forms, Inc., and drafts forms, legal digests, and legal summaries. I am a LTC and was Staff Judge Advocate for the Mississippi State Guard from 2004-2008. I now serve as the Commanding Officer of the 220th MP BN at Camp McCain near Grenada, MS. I served on active duty during Hurricanes Dennis (July, 2005), Katrina (August, 2005) and Gustav in 2008. I played football at the University of Mississippi in 1969-1971 under Coach John Vaught. I am the author of the Sports Law Book (For Coaches and Administrators) and the Sports Law Handbook for Coaches and Administrators (with Legal Forms),