AGREEMENT NO. - Agreement for Mental Health Services • January 30th, 2017 • California
This Agreement (“Agreement”) is made and entered into this 21st day of February, 2017 by and between the County of Yolo, a political subdivision of the State of California (“County”) and North Valley Behavioral, LLC, a corporation authorized to do business in the State of California (“Contractor”).
BOS Agreement No. -_ ) (Agreement for Mental Health Services)Agreement for Mental Health Services • September 21st, 2018 • California
This Agreement (“Agreement”) is made and entered into this day of , 2018 by and between the County of Yolo, a political subdivision of the State of California, (“County”) and BHC Heritage Oaks Hospital, Inc., dba Heritage Oaks Hospital, a Tennessee Corporation authorized to do business in the State of California, (“Contractor”).
NPI: 1770981268Agreement for Mental Health Services • February 20th, 2015
This document contains important information about my professional services and business policies. An additional important document that you will receive includes my privacy policies and requirements under the Health Insurance Portability and Accountability Act (HIPAA). Please read it carefully so that you are fully informed about my practice policies. When you sign this document, it will represent an agreement between us.
AGREEMENT NO. -Agreement for Mental Health Services • June 21st, 2011 • California
WHEREAS, County has entered into agreement with the State of California, Department of Mental Health, to provide Mental Health services to County of Yolo residents, (e.g., State Performance Agreement: No. 07-77219-000, County Agreement No. 08-172; State Managed Care Agreement: No. 06- 76066-000, County Agreement No. 08-183; and Mental Health Services Act Agreement: No. 07-77356- 000, hereinafter referred to as the “State Contracts”); these agreements are available to Contractor at website http://www.yolocounty.org/Index.aspx?page=1866; and
TOWNSHIP OF SCHAUMBURG ONE ILLINOIS BLVD. HOFFMAN ESTATES IL 60169Agreement for Mental Health Services • October 1st, 2021
HEALTH SERVICES AGENCYAgreement for Mental Health Services • September 4th, 2008
BOS Agreement No. -_ ) (Agreement for Mental Health Services)Agreement for Mental Health Services • October 16th, 2017 • California
This Agreement (“Agreement”) is made and entered into this day of , 2017 by and between the County of Yolo, a political subdivision of the State of California, (“County”) and CommuniCare Health Centers, Inc., a non-profit corporation authorized to do business in the State of California, (“Contractor”).
BOS Agreement No. -_ ) (Agreement for Mental Health Services)Agreement for Mental Health Services • April 17th, 2018 • California
This Agreement (“Agreement”) is made and entered into this day of , 2018 by and between the County of Yolo, a political subdivision of the State of California, (“County”) and CommuniCare Health Centers, Inc., a non-profit corporation authorized to do business in the State of California, (“Contractor”).
Jacob E. Small, Ph.D.Agreement for Mental Health Services • September 10th, 2021
This document (the Agreement) contains important information about my professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that stipulates privacy and patient rights with regard to the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment, and health care operations. HIPAA requires that I provide you with a Notice of Privacy Practices (the Notice) for use and disclosure of PHI for treatment, payment and health care operations. The Notice, which is available at my office and on my website, explains HIPAA and its application to your personal health information in greater detail. The law requires that I obtain your signature acknowledging that I have provided you with this information by the end of this session. Although these documents are long and sometimes complex, it is very important that you read them carefully. We can d
BOS Agreement No. -_ ) (Agreement for Mental Health Services)Agreement for Mental Health Services • April 19th, 2018 • California
This Agreement (“Agreement”) is made and entered into this 20th day of February, 2018 by and between the County of Yolo, a political subdivision of the State of California, (“County”) and CEP America Psychiatry, a Professional Corporation authorized to do business in the State of California, (“Contractor”).
Agreement For Mental Health Services 2015/2016 Fiscal YearAgreement for Mental Health Services • October 17th, 2014
