Common Contracts
2 similar Provider Agreement contracts
TRAUMA-INFORMED CARE PROVIDER AGREEMENTProvider Agreement • December 15th, 2014
, (Provider) enters into a Provider Agreement with The State of Alaska, Department of Health & Social Services (DHSS) for the purpose of providing trauma-informed behavioral health services to victims of domestic violence, sexual assault, and other forms of interpersonal violence. The Agreement builds upon the Division of Behavioral Health’s (DBH) efforts in previous fiscal years by identifying a pool of clinicians who can provide trauma- informed clinical services and who have successfully completed the DBH sponsored training in trauma-informed care practices entitled Trauma 101. Any Provider seeking to render services under this Agreement must provide a certificate of completion of this training for any clinician rendering services on behalf of the Provider under this Agreement. By entering into this Provider Agreement, the Provider agrees to the following, including all applicable provisions of the attached Appendices:
PROVIDER AGREEMENT FOR INDIVIDUALIZED TRAUMA INFORMED BEHAVIORAL HEALTH SERVICESProvider Agreement • February 13th, 2013
, (Provider) enters into a Provider Agreement with The State of Alaska, Department of Health & Social Services (DHSS) for the purpose of providing trauma informed behavioral health clinic services to victims of domestic violence, sexual assault, and other forms of interpersonal violence. The Agreement builds upon the Division of Behavioral Health’s (DBH) efforts in the previous two fiscal years by identifying a pool of Clinicians who can provide trauma informed clinical services and who have successfully completed the DBH sponsored training in trauma informed care practices entitled Trauma 101. Any Provider seeking to render services under this Agreement must provide a certificate of completion of this training for any Clinician rendering services on behalf of the Provider under this Agreement. By entering into this Provider Agreement, the Provider agrees to the following, including all applicable provisions of the attached Appendices:
