Mental Health Services Agreement Sample Contracts

COUNTY OF MONTEREY MENTAL HEALTH SERVICES AGREEMENT
Mental Health Services Agreement • March 2nd, 2021 • California
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AGREEMENT
Mental Health Services Agreement • February 22nd, 2023 • Nebraska

THIS AGREEMENT is made and entered into by and between the County of Lancaster, Nebraska, on behalf of the Lancaster County Sheriff’s Office, hereinafter referred to as “County,” and Conner Psychological Services, PC, Lincoln, Nebraska, hereinafter referred to as the “Contractor.” Collectively the County and the Contractor may be referred to as “Parties,” and individually each may be referred to as a “Party.”

MENTAL HEALTH SERVICES AGREEMENT, REVISED
Mental Health Services Agreement • March 4th, 2020 • Florida

THIS AGREEMENT, made and entered into this of 14th day of January, 2020 between the School Board of Gilchrist County, hereinafter referred to as “DISTRICT”; whose address is 310 NW 11th Avenue, Trenton Florida and Nina Mydek, whose address is 910 N.W. 107 Terrace, Gainesville, FL 32606, hereinafter referred to as the “THERAPIST”.

Contract
Mental Health Services Agreement • September 30th, 2022

If additional time is needed beyond Monday-Friday 8:00am-4:00pm the Canton Area School District will request this to NTC with two (2) weeks’ notice of the needed change in hours.

AGREEMENT
Mental Health Services Agreement • August 26th, 2019 • California

This Agreement is made between Solano County ("County") on behalf of its Department of Health & Social Services ("HSS") and the Solano County Office of Education on behalf of the Solano County Special Education Local Plan Area (hereinafter "SELPA"), collectively referred to as the "Parties."

AGREEMENT BETWEEN
Mental Health Services Agreement • August 20th, 2018 • California

This Agreement is entered into between the Santa Barbara Unified School District, hereinafter referred to as SBUSD in this Agreement, and Child Abuse Listening Mediation, hereinafter referred to as CALM in this Agreement. SBUSD and CALM may each be referred to as a “Party” in this Agreement or, collectively, the “Parties.”

Mental Health Services
Mental Health Services Agreement • February 28th, 2011
AGREEMENT BETWEEN
Mental Health Services Agreement • March 6th, 2017 • Florida

This Agreement is entered into this 21st day of March 2017, by and between THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA, a body corporate, hereinafter referred to as “The Board” and PIECES OF A DREAM COUNSELING CENTER., hereinafter referred to as “POADCC”, for the purpose of providing prevention services for Sarasota County district children who also access care at Pieces of a Dream Counseling Center. The Board and POADCC agree as follows:

MENTAL HEALTH SERVICES -
Mental Health Services Agreement • November 29th, 2022

This Agreement made the Twenty-first day of June, 1978 between the Civil Service Association of Western Australia Inc. (hereinafter referred to as the Association) of the one part and the Public Service Board of the other part witnesseth that the parties hereto mutually covenant and agree the one with the other as follows:-

Contract
Mental Health Services Agreement • July 28th, 2021 • California

This Agreement is made and entered into by and between the County of Lake, hereinafter referred to as “County”, and HOSPICE SERVICES OF LAKE COUNTY, hereinafter referred to as “Contractor”, collectively referred to as the “parties”.

Mental Health/Behavioral Health Agencies
Mental Health Services Agreement • August 30th, 2019

The following providers have a signed agreement with the NLRSD to provide mental/behavioral health services to students who are enrolled in the district at the student’s school location. These service providers are not part of the school district but do have a working relationship with the district. The service and financial contract is between the provider and parent/guardian, the school district is not responsible for services provided or financial obligations. If the student is receiving services in the school district building the parent/guardian will be asked to sign a release of information to allow these services to take place on campus and allow staff to share information related to the student’s treatment plan.

Contract
Mental Health Services Agreement • January 29th, 2021

This Agreement is made and entered into by and between the County of Lake, hereinafter nd June Wilson-Clarkin, hereinafter referred to as

AGREEMENT BETWEEN THE COUNTY OF SAN MATEO AND UNITY CARE GROUP, INC.
Mental Health Services Agreement • February 9th, 2009 • California

THIS AGREEMENT, entered into this day of , 20 , by and between the COUNTY OF SAN MATEO, hereinafter called "County," and Unity Care Group, Inc., hereinafter called "Contractor";

AGREEMENT
Mental Health Services Agreement • August 12th, 2024
Contract
Mental Health Services Agreement • November 6th, 2015 • California
Services-As-Needed)
Mental Health Services Agreement • April 1st, 2022

In return for the aforementioned services as set forth in Exhibit A of this agreement, the County agrees to reimburse the Contractor on the following basis:

AGREEMENT FOR MENTAL HEALTH SERVICES
Mental Health Services Agreement • May 16th, 2014

The School Board of Clay County, Florida through Students with Emotional/Behavioral Disabilities and at Risk Network (SEDNET) hereby enters into this Agreement with

AGREEMENT
Mental Health Services Agreement • November 21st, 2024

THIS AGREEMENT MADE and entered into on this effective date of ________, 2013, by and between ___________________________, hereon referred to as ______, located at _________________, West Virginia and ____________________________, hereon referred to as ______, located at _____________________________________, West Virginia.

AGREEMENT
Mental Health Services Agreement • July 24th, 2023 • Nebraska

THIS AGREEMENT is made and entered into by and between the County of Lancaster, Nebraska, hereinafter referred to as “County,” and PMA Counseling LLC, Lincoln, Nebraska, hereinafter referred to as the “Contractor.” Collectively the County and the Contractor may be referred to as “Parties,” and individually each may be referred to as a “Party.”

Please initial each section I understand that Dr Heitt requires 48 hours advance notice of cancellations and that I - not my insurance company - will be responsible for the full fee of missed sessions. I understand payment of professional fees and/or...
Mental Health Services Agreement • September 14th, 2010

Welcome to the office of Heitt Clinical & Corporate Consulting, LLC. This document (the Agreement) contains important information about my professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that went into effect in April 2003 and provides new privacy protections and new patient rights with regard to the use and disclosure of your Protected Health Information (PHI). HIPAA requires that I provide you with a Notice of Privacy Practices (the Notice) for use and disclosure of PHI for treatment, payment and health care operations. The Notice, which accompanies this Agreement, explains HIPAA and its application to your personal health information in greater detail. The law requires that I obtain your signature acknowledging that I have provided you with this information by the end of your initial consultation session. When you sign this document, it will also represent an agreem

AGREEMENT BETWEEN THE COUNTY OF SANTA CLARA AND KINDRED HEALTHCARE, INC.‌
Mental Health Services Agreement • May 22nd, 2014 • California

This Agreement ("AGREEMENT") is by and between County of Santa Clara ("COUNTY"), a political subdivision of the State of California and Kindred Healthcare, Inc., a limited liability corporation entity ("CONTRACTOR").

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AGREEMENT BY AND BETWEEN
Mental Health Services Agreement • June 13th, 2019

Senate Bill 7026 stipulates that all students are required to have equal access to mental health services from licensed providers.

EXHIBIT A-1: MENTAL HEALTH STANDARD REQUIREMENTS
Mental Health Services Agreement • April 15th, 2024

The term ‘client’ shall be synonymous with the term ‘consumer,’ ‘partner,’ ‘member,’ ‘beneficiary,’ or ‘patient’ for the purposes of this Agreement. The Agreement will generally utilize the term ‘client,’ except in instances when conforming to terms used in applicable laws is appropriate.

TO MENTAL HEALTH SERVICES AGREEMENT NO. A-15387 BETWEEN COUNTY OF MONTEREY AND
Mental Health Services Agreement • April 21st, 2022

This Amendment No. 1 to Agreement A-15387 is made and entered into by and between the County of Monterey, hereinafter referred to as COUNTY, and The Epicenter, hereinafter referred to as CONTRACTOR.

AGREEMENT
Mental Health Services Agreement • August 6th, 2010

THIS AGREEMENT is made and entered into by and between Island County, hereinafter referred to as “County”, and Stanwood-Camano School District #401, hereinafter referred to as “District.” In consideration of the terms and conditions contained herein, Island County and the District do mutually agree to enter a contractual relationship as described in this Agreement.

Agreement Between
Mental Health Services Agreement • January 3rd, 2014 • Michigan

Ann Arbor (the “City”), a municipal corporation, on behalf of the 15th Judicial District Court (the “Court”) located at 301 E. Huron Street, Ann Arbor, MI 48104 and Washtenaw County on behalf of Community Support & Treatment Services, located at 555 Towner St., Ypsilanti MI 48197 (the “Contractor”, EIN: 38-6004894).

Contract
Mental Health Services Agreement • April 11th, 2017 • California
MENTAL HEALTH SERVICES AGREEMENT
Mental Health Services Agreement • February 5th, 2021

This Agreement is entered into by and between CAC, hereinafter referred to as “CAC” and THERAPIST, referred to hereafter as the “Provider”.

AGREEMENT BY AND BETWEEN THE CITY OF BEACON, NEW YORK AND
Mental Health Services Agreement • January 27th, 2022 • New York

INC. (“MHA”), with offices at 253 Mansion Street, Poughkeepsie, New York 12601 and the CITY OF BEACON (the “CITY”), a municipal corporation of the State of New York with offices at 1 Municipal Plaza, Beacon, New York 12508 for the purpose of assessing and referring people in need of services within the jurisdiction of the CITY (together, the “Parties”). The Terms and Conditions are as follows:

TO MENTAL HEALTH SERVICES AGREEMENT A-14355 BY AND BETWEEN COUNTY OF MONTEREY AND SENECA FAMILY OF AGENCIES DBA KINSHIP CENTER
Mental Health Services Agreement • August 26th, 2024

14355 by and between the County of Monterey, a political subdivision of the State of California, hereinafter referred to as “COUNTY,” and SENECA FAMILY OF AGENCIES DBA KINSHIP CENTER, hereinafter referred to as “CONTRACTOR.”

COUNTY OF MONTEREY MENTAL HEALTH SERVICES AGREEMENT
Mental Health Services Agreement • June 18th, 2012 • California
MEMORANDUM OF UNDERSTANDING
Mental Health Services Agreement • November 4th, 2015

This Mental Health Service Agreement ("Agreement") made and entered into the 18tht day of November, 2015 as amended and restated by and between Chabot-Las Positas Community College District ("College District") and Portia Bell Hume Behavioral Health and Training Center (aka The Hume Center).

Services-As-Needed)
Mental Health Services Agreement • April 1st, 2022

In return for the aforementioned services as set forth in Exhibit A of this agreement, the County agrees to reimburse the Contractor on the following basis:

AGREEMENT
Mental Health Services Agreement • January 11th, 2017

THIS AGREEMENT MADE and entered into on this effective date of , 2003, by and between , hereon referred to as , located at , West Virginia and , hereon referred to as , located at , West Virginia.

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