Form 8: Health Center AgreementsHealth Center Agreements • May 3rd, 2024
Contract Type FiledMay 3rd, 2024DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth Resources and Services Administration FORM 8: HEALTH CENTER AGREEMENTS FOR HRSA USE ONLY Grant Number Application Tracking Number Note: If a Health Center Program award recipient wishes to enter into an agreement/arrangement post- award that will either (1) result in another organization carrying out a substantial portion of the approved scope of project or (2) impact the governing board’s composition, authorities, functions, or responsibilities, a Prior Approval request must be submitted in EHBs and approved by HRSA before the agreement/arrangement can be formalized and implemented. PART I Health Center Agreements 1. Does your organization have a parent, affiliate, or subsidiary organization?If Yes, indicate the number of each agreement by type in 1a, 1b, or 1c below and complete Part II. [_]Yes [_] No 1a. Number of Parent Organizations (number) 1b. Number of Affiliate Organizations (number) 1c. Number of Subsidiary Organizations (numb