Care Home Registration
Care Provider USA
 2305 N. Hayes
 Fresno, CA 93723

 
Toll free 1-800-330-2533
 
(559) 277-1666
 Fax (559) 277-2745

 

  RCFE REFERRAL APPLICATION AND TERMS OF AGREEMENT

This agreement will remain in force for a period of 1 year from today's date and will roll over for a subsequent year unless canceled by either party by advance 30 day written or email notice.  Care Provider USA makes no guarantee of finding or placing residents in Residential Care Facilities for the elderly (RCFEs).  Care Provider USA will be paid 100% or the corresponding referral fee listed on direct referral eligibility fee page of the first months resident fee (divided into to 2 consecutive monthly payments) beginning within working days of admission to the RCFE named on this agreement. Only the RCFE named below is eligible for resident referral.  RCFE eligibility is non-transferable and is valid only for the RCFE license shown below.  If more than one RCFE is owned by eligible member, residents transferred or placed in other  RCFE homes will be subject to 50% of the first months fee.   The RCFE named in below in this agreement agrees to pall all collection and court costs of any unpaid or past due fee owed to care provider USA.  A late penalty of 10% per resident daily fee will be added to accounts not paid in full 30 days net.  

I have read and understand this RCFE Referral Terms of agreement and wish to apply now for Referrals .

   
 
 

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