Common Contracts
2 similar Provider Agreement contracts
PROVIDER AGREEMENTProvider Agreement • October 18th, 2018
provided with this recertification packet is current and accurate. I understand and agree that the skill(s) for which we are authorized is contingent upon the continuance of sponsor hospital medical control and compliance with Section 19a-179-12 of the Regulations which govern the delivery of prehospital emergency medical services.
PROVIDER AGREEMENTProvider Agreement • October 18th, 2018
provided with this recertification packet is current and accurate. I understand and agree that the skill(s) for which we are authorized is contingent upon the continuance of sponsor hospital medical control and compliance with Section 19a-179-12 of the Regulations which govern the delivery of prehospital emergency medical services.
