RETAINER MEDICAL AGREEMENT BETWEEN PROVIDER AND PATIENTMedical Agreement • June 11th, 2020
PATIENT (the “Retainer Medical Agreement”), is by and between the direct primary care provider (“Provider”) selected upon enrollment through EverMed Services LLC (“EverMed”) and the patient (“Patient”) as named in the enrollment forms.
MEDICAL AGREEMENTMedical Agreement • April 10th, 2016
• In the event that an emergency contact cannot be reached, I give permission for conference personnel to seek medical attention as needed at my expense.
GUIDED THERAPEUTICS-SHENGHUO MEDICAL AGREEMENTMedical Agreement • January 26th, 2017 • Guided Therapeutics Inc • Electromedical & electrotherapeutic apparatus • Georgia
This Agreement is between Guided Therapeutics, Inc. (“GTI”), a Georgia corporation with the address of 5835 Peachtree Corners East, Suite D, Norcross, GA 30092, and Shenghuo Medical LLC, a privately held U.S. limited liability company with the address of 175 Strafford Ave., Wayne, PA 19087 (“Shenghuo”).
Medical Agreement With ParentMedical Agreement • September 7th, 2017
The Children’s Center cannot allow any child who is ill to enter the classroom. If a child becomes ill, the child cannot remain in the classroom. Other arrangements for care when your child is sick should be in place.
Livestock Medical AgreementMedical Agreement • March 19th, 2014
MEDICAL AGREEMENT with St. John’s Lutheran SchoolMedical Agreement • December 13th, 2021
In the unusual event of an emergency at school, I hereby agree to have St. John’s Lutheran School act as an agent for me if immediate action needs to be taken on my child’s behalf.
MEDICAL AGREEMENT & PERSONAL INSURANCE DETAILSMedical Agreement • June 21st, 2022
Heart Condition, Eye Condition (eg glaucoma), Chest pains, Lower back pain, Other (eg. Joint pain), Hernia/Hiatus Hernia, High Blood pressure, Migraine, Epilepsy, Asthma, Diabetes, Neck Pain, Arthritis, Any other physical injury or mental condition that might affect your ability to train, Surgical operation (within last 5 yrs), Prescription Medication.
ContractMedical Agreement • August 14th, 2020
Medical Agreement Vendor Resource Category Dispatch Center Number Awarded 1 12034320T7249 American Medical Response Northwest, Inc. EMT, Fireline (EMTF) ID-CDC 15 DBA: American Medical Response Northwest Approved Roster IDAHO ONLY; Paramedic, Fireline (EMPF) ID-CDC 13 EMTF; EMPF; 2 Ambach, Josh Ambach, Jacob 3 Charlton, William Burgal, Dylan 4 Chick, George Childers, Jeffrey 5 Hilbert, Michael Haworth, Charles 6 Killeen, Conner Holmstrom, Alek 7 Kirwin, Billie Jaeger, Christina 8 Koehler, Sean Luckett, Tiffani 9 Lascheid, Adam Lytle, Clare 10 McConnell, Nathan Moyer, Steve 11 Patterson, Jerry Robinson, Jesse 12 Redwine, Jessica Shelter, Caleb 13 Scheffelman, Robert Stinson, Nicholas 14 Stepanyuk, Ruvim Swoboda, Jarrod 15 Walling, Cody 16 Wolf, Alexis 17 Zajcek, Morgan 18 12034320T7252 Front Line EMS LLC Advanced EMT, Fireline (AEMF) ID-GVC 1
Medical Agreement –Educational VisitsMedical Agreement • November 6th, 2014
Have a nominated member of staff who will be responsible for the safe administration and storage of all medication. (Unless it is agreed that your child is to carry it)
