Apply For Credit
With Griffin Home Health Care
Griffin Home Health Care
Commercial Credit Application
Our credit application form is provided in two convenient formats.
The PDF file can be opened with Adobe Acrobat Reader and the
DOC file can be opened with Microsoft Word.  Please download
the appropriate file, complete the form and FAX back to us.  Faxing
provides the highest level of security for this private information.

To download either file: Click the right mouse button and select "Save Target As" or "Save Link As" from the flyout menu.

To download Adobe Acrobat Reader click the icon below:

This program file size is approximately 27.7 megabytes.
We welcome your credit application.
Please print one of the Credit Applications
listed above, complete the form and fax to:
(704) 347-1994
We will be back in contact with you shortly.