Independent Provider Agreement Sample Contracts

INDEPENDENT PROVIDER AGREEMENT [FEE FOR SERVICE]
Independent Provider Agreement • April 15th, 2022 • California

This INDEPENDENT PROVIDER AGREEMENT (this “Agreement”) is entered into between California Physicians’ Service, dba Blue Shield of California, a California nonprofit corporation, (“Blue Shield”) and (“Provider”), with reference to the following:

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Independent Provider Agreement
Independent Provider Agreement • September 18th, 2024

This is an agreement between the Neenah Joint School District Board of Education (the District) and the Independent Provider listed below for services rendered as indicated.

AGREEMENT BETWEEN COUNTY OF GLENN THROUGH ITS HEALTH AND HUMAN SERVICES AGENCY AND RESTPADD, Inc.
Independent Provider Agreement • May 29th, 2023 • California

This Independent Provider Agreement (“Agreement”) is made and entered into this 1st day of July, 2021, by and between Glenn County, a political subdivision of the State of California, by and through its Health and Human Services Agency Behavioral Health Division ("County"), and Restpadd, Inc. (“Provider”).

INDEPENDENT PROVIDER AGREEMENT [FEE FOR SERVICE]
Independent Provider Agreement • May 22nd, 2024

This INDEPENDENT PROVIDER AGREEMENT (this “Agreement”) is entered into between California Physicians’ Service, dba Blue Shield of California, a California nonprofit corporation, (“Blue Shield”) and (“Provider”), with reference to the following:

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