1. FMS Agreement
cannot be faxed, must be original
*** The 5 forms below are the next step for a Family/Individual that would like Life Patterns, Inc to provide Financial Management Service for them.
Click on each underlined form, print and complete.
*** All of the following forms must be completed correctly and submitted to the Life Patterns, Inc. office. Jon Gerdel and/or Teri Goodrich like to meet with each Individual/Family at some point during the application process.
*** Completed forms can be mailed, faxed or hand delivered.
for personal care and respite workers.
**NOTE that job candidates listed in the Kansas Personal Care Directory have NOT been screened in
any way and their backgrounds have NOT been checked. That will be your responsibility as an employer.
FIRST STEP to RECEIVE SERVICES from LIFE PATTERNS....filling out and returning the application forms below: