Common Contracts

1 similar Provider Agreement contracts

FASD DIAGNOSTIC SERVICES PROVIDER AGREEMENT
Provider Agreement • September 17th, 2021

, (Provider) enters into a Provider Agreement with the State of Alaska, Department of Health & Social Services (DHSS) for the purpose of providing Fetal Alcohol Spectrum Disorders (FASD) diagnostic services to referred individuals for the State of Alaska’s Statewide FASD Program. By entering into this Provider Agreement, the Provider agrees to the following, including all applicable provisions of the following Appendices:

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