Please enable JavaScript in your browser to complete this form. Bill To: Universal Health Hub 7030 Woodbine Ave, Unit#500, Markham, L3R6G2, ON. Ph 416-848-7032. Email : info@UniversalHealthHub.ca Service Provider Name *Service Provider Name or emailService Date or pay date *Service Provided *nursing foot carePTgeneral nursing staffPSW careITInvoice $ TOTAL *CAD $days and hours workedClient Full Name *Your Signature * Clear Signature Submit
