I CARE, Inc.
735 Sycamore Drive, Decatur, GA 30030
Client Application Form
Please provide the name and phone number of one reference (someone not related to you)
Do you use the assistance of any of the following?
Please acknowledge receipt of this document and the attached guidelines, with your signature
and date below
Thank you! Upon completing the application, please mail it in to I CARE, Inc. 735 Sycamore
Drive, Decatur GA 30030, email back to email@example.com, or call I CARE at
404-377-2273 to schedule a sign-up appointment.