Form 702 - Service Agreement
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1FORM 702
SERVICE AGREEMENT
Date of consultation: _____/ _____/ ______
The following actions were agreed:
The InterLink Case Worker will:
Action
Strategy
Timeframe
Action completed
(date & signed)
1.
2.
3.
4.
5.
The Carer agrees to:
Action
Strategy
Timeframe
Action completed
(date & signed)
1. Contact the ADHC Western Intake Line
(required before further access to support and
funding)
2.
3.
4.
5.
Signed: _________________________________________
Date: ____ / ____ /____
InterLink Case Worker
Kurrajong Waratah Policy and Procedures Manual
last reviewed 16 July 14
authorised by DCEO
Page 1 of 1
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Parent category: Business