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If so, how often would pay be?

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Frequency of payment should be completely unrelated.

Paid per patient? Legal? I don't think so!
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People are generally paid by the hour or a salary is calculated based on the work provided just like any other job. Some people do make weird arrangements that often don't comply with labour laws, but I would never recommend going that route.
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Are you working in a Nursing Home? Or private care?

Please give us more info on what ur talking about
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