School Services Health Care Agreement

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SchoolRate yearAgreement DateAgreement Start DateAgreement End DateSchool District NameSchool District Contact NameSchool District AddressRN Hourly Rate ($)LPN Hourly Rate ($)CNA/CHHA Hourly Rate ($)PT Hourly Rate ($)OT Hourly Rate ($)SLP Hourly Rate ($)PT Evaluation Fee ($)OT Evaluation Fee ($)SLP Evaluation Fee ($)RN Bus Rate - 1 Student ($)RN Bus Rate - 2 Students ($)RN Bus Rate - 3 Students ($)LPN Bus Rate - 1 Student ($)LPN Bus Rate - 2 Students ($)LPN Bus Rate - 3 Students ($)RN Show-up Pay - 1 Student ($)RN Show-up Pay - 2 Students ($)RN Show-up Pay - 3 Students ($)LPN Show-up Pay - 1 Student ($)LPN Show-up Pay - 2 Students ($)LPN Show-up Pay - 3 Students ($)RN Placement Fee ($)LPN Placement Fee ($)PT Placement Fee ($)OT Placement Fee ($)SLP Placement Fee ($)