Request for Time-Off
Please complete this form and notify your Care Coordinator or Administrator. You must submit requests for absences, other than sick leave, 2 weeks prior to the first day you will be absent.
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I consent to receive non-marketing text messages from Lean On Me Home Care Inc. about appointment reminders, open visits, etc. Message frequency varies & data rates may apply. Text HELP for assistance, reply STOP to opt out.
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