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753 Franklin Avenue Garden City, NY 11530 Call: 516-373-1516
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753 Franklin Avenue Garden City, NY 11530 Call: 516-373-1516

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Intake Form (Blank) (docx)Download
1. Home Care Virtual Initial Interview (pdf)Download
2. Financial Policy (pdf)Download
3. Privacy Statement (HIPAA) (pdf)Download
4. Care Visit Cancellation Policy (pdf)Download
5. Hipaa_fillable (pdf)Download
6. Before Care Begin Checklist (pdf)Download
7. COVID-19 Questionnaire (pdf)Download
Noticed of Deposit Statement (docx)Download
Alliance Privilege Program Application & Terms (pdf)Download
Health Care Proxy (pdf)Download
Power of Attorney (pdf)Download
Sample Service Agreement (pdf)Download
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