Common Contracts

2 similar Monitoring Agreement contracts

MONITORING AGREEMENT FOR SUBSTANCE USE, MEDICAL OR MENTAL HEALTH CONCERNS
Monitoring Agreement • January 24th, 2018

The Medical Staff Health Committee (MSHC) has developed a monitoring program for the Medical Staff of Santa Monica-UCLA Medical Center. The Program is supportive and designed to protect the safety and welfare of our patients while aiding members with medical (including chronic pain), psychiatric, behavioral and/or substance-use related problems that impair their ability to work and function at their best. The success of the Program is dependent upon a commitment by the member to participate in all aspects of the Program, as well as the ability of the MSHC to monitor the member’s progress. This agreement will be adapted depending on whether it is a substance use, medical or mental health concern.

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MONITORING AGREEMENT FOR SUBSTANCE USE, MEDICAL OR MENTAL HEALTH CONCERNS
Monitoring Agreement • January 5th, 2018

The Medical Staff Health Committee (MSHC) has developed a monitoring program for the Medical Staff of Ronald Reagan UCLA Medical Center. The Program is supportive and designed to protect the safety and welfare of our patients while aiding members with medical (including chronic pain), psychiatric, behavioral, and/or substance-use related problems that impair their ability to work and function at their best. The success of the Program is dependent upon a commitment by the member to participate in all aspects of the Program, as well as the ability of MSHC to monitor the member’s progress. This agreement will be adapted depending on whether it is a substance use, medical or mental health concern.

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