requestanurse

Ready to apply for your Baby Nurse? Simply fill out the application below or download the PDF application, complete and send it to:

Rachel's Infant Care
P.O. Box 4
Trion, GA 30753
(866) 727-4729

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  Baby Nurse Placement Application

Name

  Contact Information
Address
City
State
Zip
Home Phone
Mobile Phone
E-mail Address
  Family & Baby Information
Both Parents'
Occupations
Due Date
Baby Nurse needed for: 8 days
12 days
2 weeks
Other:
Baby's Name(s)
Siblings

What things would
be the most helpful
to you while your
Baby Nurse is in
your home?


How did you find
out about RIC?

  Terms of Service
The Baby Nurse will not give medical advice or treatment to baby, mother, or any one else. We are not Qualified to give such advice.

Rachel’s Infant Care is a Baby Nurse Placement Agency. We charge a $300.00 placement fee that is non-refundable. This fee insures you will have a baby nurse at the date you requested whether your baby arrives early, on time or late.

You reimburse the Baby Nurse $0.45 a mile round trip (to and from your home). There is an eight (8) day minimum which you will be charged a per day rate agreed upon (Call 866.727.4729) to be paid in prearranged increments or on completion of the time requested. If you have a toddler that is not included in the agreed price and you choose to have your Baby Nurse care for your toddler you will be charged an extra $50 a day. Your Baby Nurse is not a maid. The Baby Nurse's job description is on our home page and in our brochure. If you choose to have her do heavy housework like cleaning the bathrooms every day, please contact Rachel’s Infant Care for additional charges.

We the parents will not sue the Baby Nurse or Rachel’s Infant Care if an accident occurs while they are in our home.


If you agree to the terms of this contract, check the box.