Common Contracts
4 similar Provider Agreement contracts
Provider Agreement BetweenProvider Agreement • January 19th, 2021 • North Carolina
This Provider Agreement (hereinafter “Agreement” or “Contract” (used interchangeably)) establishes the relationship between the Department of Health and Human Services, Division of Public Health, Women’s and Children’s Health Section, Early Intervention Branch, Children’s Developmental Services Agency (hereinafter “CDSA”) and a Service Provider (hereinafter “Service Provider” or “Contractor” (used interchangeably)). This executed Agreement certifies that the Service Provider accepts the terms and conditions of the Agreement, which includes the Contract Documents listed below. The Service Provider is then eligible to provide authorized services under the Individualized Family Service Plan.
Provider Agreement BetweenProvider Agreement • May 29th, 2020 • North Carolina
This Provider Agreement (hereinafter “Agreement” or “Contract” (used interchangeably)) establishes the relationship between the Department of Health and Human Services, Division of Public Health, Women’s and Children’s Health Section, Early Intervention Branch, Children’s Developmental Services Agency (hereinafter “CDSA”) and a Service Provider (hereinafter “Service Provider” or “Contractor” (used interchangeably)). This executed Agreement certifies that the Service Provider accepts the terms and conditions of the Agreement, which includes the Contract Documents listed below. The Service Provider is then eligible to provide authorized services under the Individualized Family Service Plan.
Provider Agreement BetweenProvider Agreement • May 29th, 2020 • North Carolina
This Provider Agreement (hereinafter “Agreement” or “Contract” (used interchangeably)) establishes the relationship between the Department of Health and Human Services, Division of Public Health, Women’s and Children’s Health Section, Early Intervention Branch, Children’s Developmental Services Agency (hereinafter “CDSA”) and a Service Provider (hereinafter “Service Provider” or “Contractor” (used interchangeably)). This executed Agreement certifies that the Service Provider accepts the terms and conditions of the Agreement, which includes the Contract Documents listed below. The Service Provider is then eligible to provide authorized services under the Individualized Family Service Plan.
Provider Agreement BetweenProvider Agreement • September 4th, 2019 • North Carolina
This Provider Agreement (hereinafter “Agreement” or “Contract” (used interchangeably)) establishes the relationship between the Department of Health and Human Services, Division of Public Health, Women’s and Children’s Health Section, Early Intervention Branch, Children’s Developmental Services Agency (hereinafter “CDSA”) and a Service Provider (hereinafter “Service Provider” or “Contractor” (used interchangeably)). This executed Agreement certifies that the Service Provider accepts the terms and conditions of the Agreement, which includes the Contract Documents listed below. The Service Provider is then eligible to provide authorized services under the Individualized Family Service Plan.
