Brent D. Sherard, M.D., M.P.H., Director and State Health Officer Governor Dave FreudenthalProvider Agreement • May 2nd, 2007 • Wyoming
Contract Type FiledMay 2nd, 2007 JurisdictionAttached is the revised EqualityCare Provider Agreement for your review and signature. All signatures must be original and signed in ink. Agreements with signatures deemed not original will not be processed. Stamped, faxed or copied signatures are not original and will not be accepted.