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HEALTH CARE SERVICES, LLC Providing a Workforce of Excellence to Health Care Facilities in Oregon - page 1 / 1

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HEALTH CARE SERVICES, LLC Providing a Workforce of Excellence to Health Care Facilities in Oregon

EMPLOYEE SIGNATURE: FACILITY:

EMPL NO: CNA CMA LPN RN

DATE

DAY

SUPERVISOR APPROVAL

UNIT

TIME IN

TIME OUT

MEAL

TOTAL SHIFT

MON

123

1

23

1

23

TUES

WED

1

23

1

56

THU

FRI

SAT

4

56

SUN

456

Portland: tel (503) 977 - 0380

fax (503) 977 - 0473

9221

SW

Barbur

Blvd.,

Suite

101,

Portland,

OR

97219

Salem: tel (503) 365 - 9684

fax (503) 585

  • -

    1642

754

Hawthorne

Street

NE,

Salem,

OR

97301

Eugene: tel (541) 485 - 8599 76-B Centennial Loop, Eugene,

fax (541) OR 97401

302

-

2718

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