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1036 Branchview Dr NE Suit 106, Concord, NC 28025
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Home
About
Services
Home Care
Companion Care
Enhanced Pediatric Care
Personal Care & Support
Home Infusion – IV Therapy
Blog
Service Areas
Careers
Forms
Contact
Schedule Appointment
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DIRECT DEPOSIT AUTHORIZATION AGREEMENT
I hereby authorize RightCare Home Health Services LLC to initiate credit or debit entries to my account with the Financial Institution indicated below. This authority is to remain in full force and effect until RightCare Home Health Services LLC has received written notification from me of its termination in such time and in such manner as to afford RightCare Home Health Services LLC and the Financial Institution a reasonable opportunity to act on it. I understand this authorization is for reimbursements from my employer-sponsored reimbursement account plan.
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