Staff Forms

Time Off Request

To request time off or a vacation period, please download the “Time Off Request” document from our website. This document must be submitted at least 15 days in advance, so the agency can find 
another assistant to cover your case and ensure that no patient is left without service.

Send this document to the email: hr@eternalifeservices.com

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Leaving a Patient

If you need to cancel a service with a patient, you need to download the “Leaving a Patient” form. This document must be submitted 5 days in advance to allow us to complete the necessary process and find another Home Health Assistant to replace you, ensuring that no patient is left without service.

Send this document to the email: hr@eternalifeservices.com

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Paper Notes

Download this “Paper Notes” document if you were unable to clock in and/or out using the application to provide your service. Please note that this document does not guarantee that your visit will be approved or paid. Paper notes should only be submitted in case of an emergency and must be approved.

Send this document at least 24 hours in advance to the email: support@eternalifeservices.com

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