Common Contracts

PEDIATRIC SEXUAL ASSAULT SURVIVOR TRANSFER AGREEMENT

Pediatric Sexual Assault Survivor Transfer Agreement • September 26th, 2023 • Virginia

• Contract Type
  Pediatric Sexual Assault Survivor Transfer Agreement
• Filed
  September 26th, 2023
• Jurisdiction
  Virginia

THIS PEDIATRIC SEXUAL ASSAULT SURVIVOR TRANSFER AGREEMENT (“Agreement”) is made by and between [Hospital Name] (the “Treatment Hospital”), and [Hospital Name] (the “Pediatric Transfer Hospital”) (individual and/or collectively, the “Party(ies)”). This Agreement is effective as of the date of the last signature below (the “Effective Date”).