15565 Northland Dr. Suite 403E, Southfield, MI 48075
Ph: (888) 423-3301 | Fax: (248) 423-3301

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CONTINUE PLAN OF CARE
If you wish to continue your plan of care with BethHarold Home Health Care, please download the form below, fill it out, and fax your completed form to (248) 423.3301. The form is in both Microsoft Word (.doc) & in Adobe Acrobat Reader(.pdf) formats. To view the Adobe Acrobat (.pdf) file in your browser, you must have the Adobe Acrobat Reader installed on your computer. If you do not have Adobe Acrobat Reader click on the button below to install it.

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Adobe Acrobat
[ ContinuingPlanCareForm.pdf ]
 
Microsoft Word
[ ContinuingPlanCareForm.doc ]


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