Pay Rate Change 2025姓名 Full Name (*Required)(必填) 名 First Name 姓 Last Name 護理編號 Aide Code (*Required)(必填)電話號碼 Phone Number (*Required)(必填)你的語言 Your Language (*Required)(必填)中文English請選擇 Please select (*Required)(必填)$19.1(Regular)+$1.85(Benefit Card)+$0.69(Sick Pay/PTO)$19.1(Regular)+$1.85(WPR)+$0.69(Sick Pay/PTO)Signature簽名 (*Required)(必填)請勾選此框以表示同意 Please Check Box For Agreement (*Required)(必填) “By checking this box, I confirm that I've read and understood the provided information, and I'm making this selection personally. Checking also signifies consent to receive text messages from Golden Touch. Rates may apply, frequency varies. Text STOP to opt out, HELP for assistance." 通過勾選此框，我確認已閱讀並理解所提供的信息，並確認這是我本人作出的選擇。勾選此框亦表示同意接收來自萬有護理公司的短訊。此服務可能會產生費用，且短訊發送次數不固定。若希望取消訂閱，請回覆“STOP”；如需協助，請回覆“HELP”。NameThis field is for validation purposes and should be left unchanged.