ADC Check-In / Check-Out
One Site for Seniors
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ADC Check-In
One Site for Seniors
Special Instructions
Examples: Medicines, limitations or special health concerns.
Emergency Contact Phone Number
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Check-IN Time
Hour Minutes
AM
PM
AM/PM Option
Location
Signature
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ADC Check-Out
One Site for Seniors
Check-Out Time
Hour Minutes
AM
PM
AM/PM Option
. WE HOPE YOU HAVE A WONDERFUL DAY!
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