Medical Service Agreement Sample Contracts

Medical Provider Checklist & Service Agreement
Medical Service Agreement • September 15th, 2020

This document outlines the agreed services to be provided by a Medical Service Provider and is to be agreed and approved by the Event Organising Committee (OC). All sections of this agreement are to be completed prior to the commencement of any endorsed Equestrian Australia event.

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Medical Service Agreement (MSA) Highlights 2
Medical Service Agreement • June 25th, 2010

This is not intended to be an all-inclusive listing of changes - please refer to the actual Medical Service Agreement for all details.

MEDICAL FACILITATOR AGREEMENT
Medical Service Agreement • July 16th, 2021

Aster Medcity, a unit of Aster DM Healthcare Limited, a Company incorporated under the laws of India and hospital situated at Kuttisahib Road, Near Kothad Bridge, South Chittoor P.O., Cheranalloor, Kochi – 682027, Kerala, India, acting through its Authorised signatory Mrs. Ambili Vijayaraghvan, Chief Operating Officer (hereinafter referred to as “Hospital”, which expression shall unless repugnant to the context or meaning thereof include its successors and assigns) of the First Part;

MEDICAL SERVICE AGREEMENT
Medical Service Agreement • January 12th, 2023
MEMBERSHIP BENEFITS (Medical Service Agreement)
Medical Service Agreement • November 21st, 2018

Inpatient Advocacy Service™ program – unique hospital advocacy service in Lee County – Dr. Kordonowy will visit you when hospitalized to assist in your care

MEDICAL SERVICE AGREEMENT
Medical Service Agreement • April 24th, 2014

This Acknowledgement is effective (Date to be entered only by Health Plan), by and among Blue Care Network of Michigan, Blue Care of Michigan, Inc. and BCN Service Company (hereinafter collectively referred to as Health Plan), , a Medical Care Group or MCG (Provider) and _ (Practitioner), who is a member of Medical Care Group.

MEDICAL SERVICE AGREEMENT
Medical Service Agreement • September 4th, 2020
Medical Service Agreement for Medical Cannabis
Medical Service Agreement • October 4th, 2022

I, , have been diagnosed by a Licensed physician in the state of Arizona as having a qualifying condition for the use of medical cannabis, covered under current Washington State law.

Medical Service Agreement
Medical Service Agreement • July 30th, 2024 • Texas

Personal M.D. Family Healthcare, P.A. (Personal MD or Clinic) is a Direct Primary Care practice as defined by Texas Occupation Code 162 Subchapter F. The captions in this agreement are only for convenience and have no legal meaning.

Umowa
Medical Service Agreement • March 24th, 2021
MEDICAL SERVICE AGREEMENT
Medical Service Agreement • April 30th, 2015

WHEREAS, the HMO and the PRACTICE desire to enter into a contractual relationship to facilitate the provision of prepaid health care for Members enrolled in the Medicaid Plans offered by the HMO.

MEDICAL SERVICE AGREEMENT
Medical Service Agreement • October 12th, 2014

This report shall be accomplished whether or not there were accident / illness during the period, covered and submitted to the Regional Labor Office or local government having jurisdiction not later than the 30th day of the month following the end of each calendar year.

Select
Medical Service Agreement • May 29th, 2018
MENTAL HEALTH -
Medical Service Agreement • May 24th, 2021

(PN 20) The Medical Service Agreement Act provides for direct primary care, medical service agreements and insurance, for medical service agreement requirements, for use of health savings accounts or flexible spending accounts, and for use of other health care practitioners. The bill establishes that in order to be considered a medical service agreement under this act, the medical service agreement shall be in writing, be signed by the patient or patient's legal representative or guardian, be signed by the physician, allow either party to terminate the medical service agreement upon written notice to the other party, describe the specific health care services that are included in the medical service agreement, specify the fee for the medical service agreement, specify the period of time under the medical service agreement, and include the following statement: This agreement does not provide comprehensive health insurance coverage. The agreementonly provides for the health care servic

Medical Service Provider Checklist & Service Agreement Form 06
Medical Service Agreement • February 9th, 2022

This document outlines the agreed services to be provided by a Medical Service Provider (MSP) and is to be agreed and approved by the Event Organising Committee (OC). All sections of this agreement are to be completed prior to the commencement of any endorsed Equestrian Australia Eventing event.

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