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HEALTHCARE WORK ORDER

Shift

Attire required for position?

Orientation provided?

Staff Requested

7 + 5 =

Customer Agreement : This is to certify that all information provided in this order is sufficient to process the order and can be billed without errors. Agency is not responsible for any additional information requested from client’s account payable if not provided herein. Invoices are due upon receipt. Any payments not received within 30 days from the date of the invoice will be subject to interest charges at 1.5% (18% per annum).