PATIENT TRANSFER AGREEMENTPatient Transfer Agreement • February 4th, 2021 • New Jersey
(this “Agreement”) is effective as of December 1, 2020 (“Effective Date”) by and between The Cooper Health System (hereinafter “Cooper”) operating under the laws of the State of New Jersey and Inspira Medical Centers, Inc. (hereinafter “Hospital”).
Patient Transfer AgreementPatient Transfer Agreement • September 30th, 2014
PATIENT TRANSFER AGREEMENTPatient Transfer Agreement • September 3rd, 2014
WHEREAS, operates a tertiary level acute care pediatric hospital to provide access to patient care for the residents of its primary service area and to provide tertiary level services on a regional and national basis to individuals requiring specialized pediatric care; and
PATIENT TRANSFER AGREEMENTPatient Transfer Agreement • December 27th, 2021
Physician: Patient Account Number: Contact Name: Title: Phone Number:_ Authorization number for transfer to Jackson County Memorial Hospital:
Hospital Patient Transfer AgreementPatient Transfer Agreement • July 8th, 2021
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