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Nowadays more patients need to receive medical treatments at home. Sequencing home care nurses visits shows similarities with the multiple vehicle routing problem with time windows (MVRPTW). Additional constraints make this problem much more complex. These refer to medical requirements and to the importance of continuity of care. In this paper, we present a mathematical model describing the problem of determining routes for home care nurses which takes into account constraints from the MVRPTW along with medical and continuity of care constraints. We also provide some numerical results.