Common Contracts

4 similar Participant Agreement contracts

CliniSync Participant Agreement (Physician) v7.1
Participant Agreement • June 29th, 2021 • Ohio

Site Administrator Name (if different from Primary Contact): Site Administrator Title (if different from Primary Contact): Site Administrator Phone (if different from Primary Contact): Site Administrator Email (if different from Primary Contact): Is the Organization Tax Exempt? No Number of Physicians:

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CliniSync Participant Agreement (Physician) v7
Participant Agreement • April 2nd, 2021 • Ohio

This Participant Agreement (“Agreement”) is entered into as of the Effective Date below by and between Ohio Health Information Partnership, Inc., an Ohio nonprofit corporation (“Company”), and the entity (“Participant”) listed below.

CliniSync Participant Agreement (Facility - Care Staff) v5
Participant Agreement • May 28th, 2019 • Ohio

This Participant Agreement (“Agreement”) is entered into as of the Effective Date below by and between Ohio Health Information Partnership, Inc., an Ohio nonprofit corporation (“Company”), and the entity (“Participant”) listed below.

CliniSync Participant Agreement (Physician) v 4
Participant Agreement • December 19th, 2017 • Ohio

This Participant Agreement (“Agreement”) is entered into as of the Effective Date below by and between Ohio Health Information Partnership, Inc., an Ohio nonprofit corporation (“Company”), and the entity (“Participant”) listed below.

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