INFORMATION SERVICES REMOTE ACCESS AGREEMENT For PHYSICIAN OFFICE and PHYSICIAN OFFICE STAFF ACCESSInformation Services Remote Access Agreement • August 10th, 2017 • Michigan
The purpose of this Agreement is to set forth the legal terms upon which Integrated Health Partners (“IHP”) may grant remote access to a Physician Entity, Group or Office (“Physician Office”) for the benefit of a Physician(s) and members of the office staff for Physicians who are a member of IHP. This Agreement should only be executed after IHP has received a request for remote access and has approved that request, pursuant to its policies and procedures. The parties acknowledge that IHP is an Organized Health Care Arrangement (“OHCA”) and that IHP grants this access to Physician Office consistent with IHP’s own restrictions and obligations under all applicable laws, rules, and regulations.
Information Services Remote Access Agreement for Physician PracticesInformation Services Remote Access Agreement • August 28th, 2008
This is the application for a login ID and password to access WakeMed information systems remotely. Please fax the completed form to: 919-350-2589. Please contact Medical Staff Services at (919) 350-2671 about your fax. Please contact Physician Relations at (919) 350-5911 or the Help Desk at (919) 350-8700 with any questions.
The purpose of this Agreement is to set forth the legal terms upon which Munson Healthcare’s Information Services department may grant remote access to a physician practice (“Physician Office”) for the benefit of a physician(s) and members of the...Information Services Remote Access Agreement • April 2nd, 2021 • Michigan
This Information Services Remote Access Agreement (the “Agreement”), effective as of the date this Agreement is fully executed, is entered into by and between the physician office set forth below (“Physician Office”) and Munson Healthcare, a nonprofit corporation, on behalf of itself and its subsidiaries and other entities designated as an Affiliated Entity of Munson pursuant to HIPAA (“Munson”).
