I only did it once, only because this particular DCM was being a royal pain in the you know what and I had enough of her.
She complained that I charged to much, instructed me how to change my DC to suit her, keep changing the number of days she needed care and so forth. So when she contacted me again asking for references, I responded polietly with my references and then polietly asked to speak with her current provider. I never heard from her again.

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