Standard Consent Form Sample Clauses

Standard Consent Form. For all electronic and non-electronic Health Information Exchange environments, Provider will follow PIHP’s and CMHSP’s policies requiring the Parties to use and accept the standard release form MDHHS-5515 created under Public Act 129 of 2014.
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Standard Consent Form. For all electronic and non-electronic Health Information Exchange (“HIE”) environments, Provider will follow CMHSP and LRE Policy and Procedure requiring Parties to use and accept the standard release form MDHHS-5515 created under 2014 PA 129.
Sample 1

Related to Standard Consent Form

  • Vendor Agreement Signature Form (Part 1)

  • Annex A As a condition to (i) receiving an Award under the Plan and (ii) receiving any Stock in settlement of an Award, the Participant hereby agrees that the Participant will be bound by and will comply with the provisions of this Annex A.

  • Payment Address and Effect of Non-Payment All non-electronic payments required by this Settlement Agreement shall be delivered to the following address: Chanler, LLC Attn: Proposition 65 Controller 00 Xxxxxxxxxxx Xxxx Xxxx Xxx Xxxxxx, XX 00000 Should the payments due under Section 3 not clear within two business days from the Effective Date, then this Settlement Agreement shall be null and void.

  • WILEY OPEN ACCESS TERMS AND CONDITIONS Wiley Publishes Open Access Articles in fully Open Access Journals and in Subscription journals offering Online Open. Although most of the fully Open Access journals publish open access articles under the terms of the Creative Commons Attribution (CC BY) License only, the subscription journals and a few of the Open Access Journals offer a choice of Creative Commons Licenses. The license type is clearly identified on the article.

  • Exhibit B Exhibit B is hereby deleted in its entirety and is substituted with the revised Exhibit B, attached hereto.

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