Common Contracts

2 similar Resident and Accommodation Agreement contracts

RESIDENT AND ACCOMMODATION AGREEMENT Facility: Windsor Aged Care Services
Resident and Accommodation Agreement • January 15th, 2018

Your Personal Details Name (You/Care Recipient) RESIDENT Date of Birth Current Address Billing Address Email Emergency Contact Name Address Phone Number(s) Email Representative(s) (if any) (eg enduring power of attorney, guardian, administrator, financial manager) Authority Name Address Phone Number(s) Email Authority Name Address Phone Number(s) Email Authority Name Address Phone Number(s) Email

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RESIDENT AND ACCOMMODATION AGREEMENT Facility: Rosalie Nursing Care Centre
Resident and Accommodation Agreement • January 15th, 2018

Your Personal Details Name (You/Care Recipient) RESIDENT Date of Birth Current Address Billing Address Email Emergency Contact Name Address Phone Number(s) Email Representative(s) (if any) (eg enduring power of attorney, guardian, administrator, financial manager) Authority Name Address Phone Number(s) Email Authority Name Address Phone Number(s) Email Authority Name Address Phone Number(s) Email

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