ContractDental Services Agreement • January 4th, 2023
DENTAL SERVICES AGREEMENTDental Services Agreement • March 11th, 2014 • California
DENTAL SERVICES AGREEMENTDental Services Agreement • November 15th, 2017 • Nevada
This Dental Services Agreement (the “Agreement”) is made and entered into as of the date of execution by and between Joseph Cruise with a principal place of business located at (the “Practice”) and Ry K an individual currently with a principal place of business located at (the “Specialist”). Both the Practice and the Specialist may be referred to individually as a “Party” and collectively as the “Parties.”
DENTAL SERVICES AGREEMENTDental Services Agreement • December 2nd, 2017 • New Jersey
This Dental Services Agreement (the “Agreement”) is made and entered into as of the date of execution by and between John Stewart with a principal place of business located at (the “Practice”) and SpecialistDemo SpecialistDemo an individual currently with a principal place of business located at (the “Specialist”). Both the Practice and the Specialist may be referred to individually as a “Party” and collectively as the “Parties.”
DENTAL SERVICES AGREEMENT 1Dental Services Agreement • October 26th, 2017
CONTENTS Part. Headings Clause No. PART 1 DEFINITIONS AND INTERPRETATION 1-5 PART 2 RELATIONSHIP BETWEEN THE PARTIES 6-13 PART 3 NHS CONTRACTS 14 PART 4 COMMENCEMENT OF THE AGREEMENT 15 DURATION OF THE AGREEMENT 16-20 PART 5 WARRANTIES 21-24 PART 6 PATIENTS 25-39 PART 7 LEVEL OF SKILLPROVISION OF SERVICES 40 – 73 PART 8 MANDATORY SERVICES 74-100 PART 9 ADDITIONAL SERVICES 101-167 PART 10 FURTHER SERVICES 168-172 PART 11 SUPPLY OF DRUGS AND PRESCRIBING 173-177 PART 12 PERSONS WHO PERFORM SERVICES 178-201 PART 13 RECORDS, INFORMATION, NOTIFICATION ANDRIGHTS OF ENTRY 202-236 PART 14 PAYMENT UNDER THE AGREEMENT 237-239 PART 15 FEES AND CHARGES AND FINANCIAL INTERESTSOF THE CONTRACTOR 240-243 PART 16 CLINICAL GOVERNANCE AND QUALITYASSURANCE 244-249 DUTY AS TO EDUCATION AND TRAINING 249A PART 17 INSURANCE 250-253 PART 18 GIFTS 254-259 PART 19 COMPLIANCE WITH LEGISLATION AND GUIDANCE 260 PART 20 COMPLAINTS 261-277 PART 21 DISPUTE RESOLUTION 278-285 PART 22 VARIATION AND TERMINATION O
DO NOT REMOVE the red text at the beginning and end of this document. It is there for the licensing agreement.Dental Services Agreement • November 18th, 2021
The Minnesota Health Care Programs (MHCP) dental program provides medically necessary, cost-effective oral health care to MHCP members. This care meets specific limits outlined in state statutes and rules, and has been adopted by the Department of Human Services (DHS) and explained in this manual. Services provided must be medically necessary and meet dental community standards of care.
Dental Services AgreementDental Services Agreement • February 3rd, 2021
DENTAL SERVICES AGREEMENTDental Services Agreement • July 23rd, 2018 • California
This Dental Services Agreement (the “Agreement”) is made and entered into as of the date of execution by and between John Stewart with a principal place of business located at (the “Practice”) and Roger Jackson an individual currently with a principal place of business located at (the “Specialist”). Both the Practice and the Specialist may be referred to individually as a “Party” and collectively as the “Parties.”
ContractDental Services Agreement • April 22nd, 2020
Welcome! Thank you for selecting Dr. Felt as your dental health care provider. Our goal is to provide you and your family with optimal dental care at the best price. We want you to feel welcome and as comfortable as possible throughout our relationship. We encourage you to ask questions and to be involved in treatment decisions. This includes understanding your treatment plan as well as our financial policy. Please read and fill out both sides of this agreement (if applicable).
DENTAL SERVICES AGREEMENTDental Services Agreement • August 16th, 2018 • California
This Dental Services Agreement (the “Agreement”) is made and entered into as of the date of execution by and between John Smith with a principal place of business located at Suite 808 (the “Practice”) and Randy Smith an individual currently with a principal place of business located at Suite 808 (the “Specialist”). Both the Practice and the Specialist may be referred to individually as a “Party” and collectively as the “Parties.”
PROCARE DENTAL SERVICES AGREEMENTDental Services Agreement • November 7th, 2020
ENTIRE UNDERSTANDING: You have reviewed presentations related to ProCare, and agree this agreement replaces all previous representations. We agree the following is true of our business:
ContractDental Services Agreement • March 6th, 2013
DENTAL SERVICES AGREEMENTDental Services Agreement • September 12th, 2020 • California
This Dental Services Agreement (the “Agreement”) is made and entered into as of the date of execution by and between Gary Braunstein with a principal place of business located at Suite 102 (the “Practice”) and Jeff Johnson an individual currently with a principal place of business located at (the “Specialist”). Both the Practice and the Specialist may be referred to individually as a “Party” and collectively as the “Parties.”
Agreement between Hong Kong Physiotherapists’ Union and HMMP (Dental) Limited for Dental SchemeDental Services Agreement • February 14th, 2018
This Agreement is made and entered into this on January 16, 2018 by and between HMMP (Dental) Limited and Hong Kong Physiotherapists’ Union (hereinafter referred to as "the Company").
DENTAL SERVICES AGREEMENTDental Services Agreement • March 6th, 2018 • California
This Dental Services Agreement (the “Agreement”) is made and entered into as of the date of execution by and between Ciara Gobel with a principal place of business located at (the “Practice”) and Michael Hill an individual currently with a principal place of business located at (the “Specialist”). Both the Practice and the Specialist may be referred to individually as a “Party” and collectively as the “Parties.”
Sample AgreementDental Services Agreement • September 10th, 2007
This agreement is made on [date], by and between [name of school-based dental sealant program] and [name of dentist or safety net dental clinic].
DENTAL SERVICES AGREEMENTDental Services Agreement • December 8th, 2017 • Essex
This Dental Services Agreement (the “Agreement”) is made and entered into as of the date of execution by and between Anil Test with a principal place of business located at 60 (the “Practice”) and James Test an individual currently with a principal place of business located at (the “Specialist”). Both the Practice and the Specialist may be referred to individually as a “Party” and collectively as the “Parties.”
DENTAL SERVICES AGREEMENTDental Services Agreement • August 21st, 2017 • Nevada
This Dental Services Agreement (the “Agreement”) is made and entered into as of the date of execution by and between anil test with a principal place of business located at (the “Practice”) and sdd ds an individual currently with a principal place of business located at (the “Specialist”). Both the Practice and the Specialist may be referred to individually as a “Party” and collectively as the “Parties.”
To: Dr. Robert O’Donnell From: Jeanne Knouse Date: April 9, 2018 Re: Routine Approval of Dental Service AgreementDental Services Agreement • April 5th, 2018 • Pennsylvania
The attached Dental Services Agreement will be presented at the April 9, 2018 State College Area School District School Board meeting as a routine approval item. The Board approved a nearly identical agreement on August 22, 2016.
AGREEMENT ENTERED INTO BETWEEN DOCTOR ANDDental Services Agreement • July 20th, 2020
SCOPE OF WORKDental Services Agreement • April 7th, 2020
Please complete the Agreement in BLOCK CAPITAL letters -Dental Services Agreement • April 12th, 2021
Title: Full Name “The Patient”: Plan:❏ A – £14.00 p/m❏ B – £16.75 p/m❏ C – £19.50 p/m❏ Child/Youth Hygienist Plan – £4.00 p/m Address: Postcode: Tel. No. : Email: We will contact you via email, regarding this Plan, unless you tick the following box for contact via post: DOB: DD MM YYYY Patient No. (if known): Current Dentist Name:
DENTAL SERVICES AGREEMENTDental Services Agreement • June 28th, 2019
This Dental Services Agreement (this “Agreement”), is made as of January 1, 2014 (the “Effective Date”), by and between Dental Benefit Providers, Inc. (“Vendor”) and UnitedHealthcare of Kentucky, Ltd. (“United”). For services provided on or after its Effective Date, this Agreement supersedes and replaces any and all other agreements, whether written or oral, between the parties regarding the subject matter contained herein.
Please complete the Agreement in BLOCK CAPITAL letters -Dental Services Agreement • May 15th, 2007
Please pay Insurance Broking Finance Ltd Direct Debits from account detailed in this instruction subject to the safeguards assumed by the
Dental Services AgreementDental Services Agreement • August 1st, 2024
This Agreement (hereinafter referred to as “Agreement”), made in Seattle, Washington by and between Fan, PLLC, a Professional limited liability company organized and existing under the laws of the State of Washington, (hereinafter referred to as the “Company”), and
DENTAL SERVICES AGREEMENT &Dental Services Agreement • September 4th, 2019
June 27, 2022Dental Services Agreement • June 24th, 2022
Thank you for continuing to choose Delta Dental! We value our relationship with you and your members, and we appreciate your business.
Agreement for Dental ServicesDental Services Agreement • May 22nd, 2007
The parent or legal guardian herby retains Dr. Ann Freedman and/or Dr. Jacqueline Galvez to render dental services to and for the benefit of the patient.
DENTAL SERVICES AGREEMENTDental Services Agreement • May 17th, 2017
This Dental Services Agreement (the “Agreement”) is made and entered into as of the date of execution by and between Sydney with a principal place of business located at Sydney (the “Practice”) and an individual currently with a principal place of business located at (the “Specialist”). Both the Practice and the Specialist may be referred to individually as a “Party” and collectively as the “Parties.”
DO NOT REMOVE the red text at the beginning and end of this document. It is there for the licensing agreement.Dental Services Agreement • January 22nd, 2022
The Minnesota Health Care Programs (MHCP) dental program provides medically necessary, cost-effective oral health care to MHCP members. This care meets specific limits outlined in state statutes and rules, and has been adopted by the Department of Human Services (DHS) and explained in this manual. Services provided must be medically necessary and meet dental community standards of care.
ContractDental Services Agreement • February 11th, 2014
This is an agreement between Schommer Dental, P.C., an Iowa Professional Corporation, as creditor, and the Patient/Debtor named on this form.
agreement between crown dental plan, inc. & dentistDental Services Agreement • November 24th, 2015 • New York
Agreement for access to dental services dated _ . 20 , between (Dentist) & Crown Dental Plan, Inc., a New York corporation (* Crown Dental Plan”).
Delta Dental of Idaho ContractDental Services Agreement • November 4th, 2013
This contract originally effective the 1st day of November, 1998 A.D., by and between Bonneville County, hereinafter referred to as the contractor and DELTA DENTAL OF IDAHO, INC., an Idaho nonprofit corporation, hereinafter referred to as Delta Dental.
PATIENT REGISTRATION DENTAL SERVICES AGREEMENTDental Services Agreement • July 29th, 2021 • California
Smiles Agreement FormDental Services Agreement • May 14th, 2019
