Common Contracts

4 similar Business Associates Agreement contracts

Contract
Business Associates Agreement • May 5th, 2020

Sierra County‌Board of Supervisors’ Agenda Transmittal & Record of Proceedings MEETING DATE:August 21, 2018 TYPE OF AGENDA ITEM:Regular TimedConsent DEPARTMENT: Behavioral HealthAPPROVING PARTY: Lea Salas, Administrative DirectorPHONE NUMBER: (530) 993‐6746 AGENDA ITEM: Professional Services Agreement between Dr. Mai Nguyen and Sierra County Behavioral Healthfor psychiatric peer review of medical charts SUPPORTIVE DOCUMENTS ATTACHED: Memo Resolution Agreement Other BACKGROUND INFORMATION: Please see attached Memo FUNDING SOURCE: 0515670GENERAL FUND IMPACT: No General Fund ImpactOTHER FUND:AMOUNT: $10,000 Annually ARE ADDITIONAL PERSONNEL REQUIRED? Yes, ‐‐ ‐‐No IS THIS ITEM ALLOCATED IN THE BUDGET? Yes No IS A BUDGET TRANSFER REQUIRED? Yes No

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Contract
Business Associates Agreement • June 17th, 2019

Sierra CountyBoard of Supervisors’ Agenda Transmittal & Record of Proceedings MEETING DATE:July 9, 2019 TYPE OF AGENDA ITEM:Regular Timed Consent DEPARTMENT: Behavioral HealthAPPROVING PARTY: Lea Salas, Administrative DirectorPHONE NUMBER: (530) 993-6746 AGENDA ITEM: Professional Services Agreement between Dr. Mai Nguyen and Sierra County Behavioral Healthfor psychiatric peer review of medical charts SUPPORTIVE DOCUMENTS ATTACHED: Memo Resolution Agreement Other BACKGROUND INFORMATION: Please see attached memo FUNDING SOURCE: 0515670GENERAL FUND IMPACT: No General Fund ImpactOTHER FUND: 5671AMOUNT: $ 10,000.00 Annually ARE ADDITIONAL PERSONNEL REQUIRED? Yes, -- --No IS THIS ITEM ALLOCATED IN THE BUDGET? IS A BUDGET TRANSFER REQUIRED? Yes Yes No No SPACE BELOW FOR CLERK’S USE BOARD ACTION:☐Approved☐Approved as amended☐Adopted☐Adopted as amended☐Denied☐Other☐No Action Taken ☐Set public hearingFor: ☐Direction to: ☐Referred to: ☐Continued to: ☐Authorization given to: Resolution

Contract
Business Associates Agreement • June 17th, 2019

Sierra CountyBoard of Supervisors’ Agenda Transmittal & Record of Proceedings Meeting Date:July 9, 2019 Type of Agenda Item:Regular Timed Consent Department: Behavioral HealthApproving Party: Lea Salas, Administrative DirectorPhone Number: (530) 993-6746 Agenda Item: Professional services agreement between Dr. Don Stembridge, Ph.D., and Sierra County forbehavioral health services Supportive Documents Attached: Memo Resolution Agreement Other Background Information: Please see attached memo Funding Source: 0515670General Fund Impact: No General Fund ImpactOther Fund: 5670, 5671Amount: $11,000.00 Annually Are additional personnel required? Yes, -- --No Is this item allocated in the budget? Is a budget transfer required? Yes Yes No No Space Below for Clerk’s Use Board Action:☐Approved☐Approved as amended☐Adopted☐Adopted as amended☐Denied☐Other☐No Action Taken ☐Set public hearingFor: ☐Direction to: ☐Referred to: ☐Continued to: ☐Authorization given to: Resolution 2019- Agreement

Contract
Business Associates Agreement • May 14th, 2019

Sierra CountyBoard of Supervisors’ Agenda Transmittal & Record of Proceedings MEETING DATE:May 21, 2019 TYPE OF AGENDA ITEM:Regular Timed Consent DEPARTMENT: Behavioral HealthAPPROVING PARTY: Lea Salas, Administrative DirectorPHONE NUMBER: (530) 993-6746 AGENDA ITEM: Professional Services Agreement between Thomas E. Bittker, M.D., and Sierra County forbehavioral health services (BEHAVIORAL HEALTH) SUPPORTIVE DOCUMENTS ATTACHED: Memo Resolution Agreement Other BACKGROUND INFORMATION: Please see attached memo FUNDING SOURCE: 0515670GENERAL FUND IMPACT: No General Fund ImpactOTHER FUND: 5670, 5671, 5680AMOUNT: $ 94,050.00 Annually ARE ADDITIONAL PERSONNEL REQUIRED? Yes, -- --No IS THIS ITEM ALLOCATED IN THE BUDGET? IS A BUDGET TRANSFER REQUIRED? Yes Yes No No SPACE BELOW FOR CLERK’S USE BOARD ACTION:☐Approved☐Approved as amended☐Adopted☐Adopted as amended☐Denied☐Other☐No Action Taken ☐Set public hearingFor: ☐Direction to: ☐Referred to: ☐Continued to: ☐Authorization given to: Re

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