Common Contracts

Contract

Provider Agreement • May 24th, 2018

• Contract Type
  Provider Agreement
• Filed
  May 24th, 2018

RICHARD M. ARMSTRONG – Director BUREAU OF COMMUNICABLE DISEASE PREVENTION AND CONTROL DIVISION OF PUBLIC HEALTH

Provider Agreement • June 13th, 2017

• Contract Type
  Provider Agreement
• Filed
  June 13th, 2017

Providers enrolled with the Idaho Immunization Program (IIP) are required to re-enroll annually. Enclosed is the 2017 Provider Agreement and additional paperwork necessary for re-enrollment.