Immunization Registry Participation Agreement Sample Contracts

IMMUNIZATION REGISTRY PARTICIPATION AGREEMENT BETWEEN THE

Immunization Registry Participation Agreement • January 3rd, 2022 • Kentucky

• Contract Type
  Immunization Registry Participation Agreement
• Filed
  January 3rd, 2022
• Jurisdiction
  Kentucky

This Immunization Registry Participation Agreement (the "Agreement") is entered into between the Commonwealth of Kentucky, Cabinet for Health and Family Services, Department for Public Health ("DPH"), and the

Organization/Facility Name)

Immunization Registry Participation Agreement • June 17th, 2014

• Contract Type
  Immunization Registry Participation Agreement
• Filed
  June 17th, 2014

identify each party’s roles and responsibilities related to participation in the Department’s web-based immunization registry ShowMeVax .

Contract

Immunization Registry Participation Agreement • May 5th, 2020

• Contract Type
  Immunization Registry Participation Agreement
• Filed
  May 5th, 2020

The Missouri Department of Health and Senior Services (DHSS) and (Organization/Facility Name) do hereby enter into the following agreement. The purpose of this agreement is to identify each party’s roles and responsibilities related to participation in the Department’s web-based immunization registry ShowMeVax .