Common Contracts

1 similar Practice Participation Agreement contracts

Sample Practice Participation Agreement Cover Letter
Practice Participation Agreement • December 31st, 2018

Letter to include: practice name, practice address, physician champion, practice leadership person, application key contact name of person responsible for project implementation, email address, and phone. If a multi-site practice, indicate physician champion and IBH practice team at each site. Letter is to be signed by all members of the IBH implementation team

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