Common Contracts
1 similar CDC Covid-19 Vaccination Program Provider Agreement contracts
Please complete Sections A and B of this form as follows:CDC Covid-19 Vaccination Program Provider Agreement • October 23rd, 2020
The Centers for Disease Control and Prevention (CDC) greatly appreciates your organization’s (Organization) participation in the CDC COVID-19 Vaccination Program. Your Organization’s chief medical officer (or equivalent) and chief executive officer (or chief fiduciary)—collectively, Responsible Officers—must complete and sign the CDC COVID-19 Vaccination Program Provider Requirements and Legal Agreement (Section A). CDC COVID-19 Vaccination Program Provider Profile Information (Section B) must be completed for each vaccination Location covered under the Organization listed in Section A.
