Agreement for DentTIVA® Anesthesia FeesAnesthesia Services Agreement • November 4th, 2020
Contract Type FiledNovember 4th, 2020I, agree to the following terms and fees for Conscious and/or General Intravenous (IV) anesthesia services provided by DentTIVA®. (Initial Preference Below)
ANESTHESIA SERVICES AGREEMENTAnesthesia Services Agreement • May 1st, 2024
Contract Type FiledMay 1st, 2024This agreement is made by and between , LLC a Washington professional corporation, (herein called “Dental Clinic”) and FAN PLLC and collectively as the “Parties”.
Anesthesia Services AgreementAnesthesia Services Agreement • July 20th, 2019
Contract Type FiledJuly 20th, 2019This ANESTHESIA SERVICES AGREEMENT (the “Agreement”) is made this _ _ day of _ 20 , between DreamSafe Anesthesia Staffing, Inc. Federal Tax ID# located at Street, Anchorage, AK 99516 (herein and sometimes referred to as “DreamSafe”) and [“Facility or Practice group”] Federal Tax ID# _ located at [Street Address], [City], [State] [Zip Code] (herein and sometimes referred to as [“Facility or Practice group”]
Anesthesia Services AgreementAnesthesia Services Agreement • May 5th, 2017
Contract Type FiledMay 5th, 2017WHEREAS, Contractor is a professional group comprised of anesthesia personnel qualified and licensed to administer anesthesia in the State where facility is located;