Provider Service Agreement Sample Contracts

DentiCare OrthoEngage Provider Service Agreement Terms of Use – Australian Orthodontic Practices
Provider Service Agreement • June 20th, 2024

This Agreement is to ensure the parties engaged in working together under this Agreement understand the function and application of the DentiCare Service, as well as each party understanding their responsibilities and obligations in the business relationship. If you have any questions in relation to these terms and conditions, please contact DentiCare at providerrelations@denticarepaymentplans.com.au or call 1300 633 472 to speak with your DentiCare support specialist. Any advice provided by DentiCare and its agents or employees is general in nature and you should seek independent legal advice regarding your rights and obligations under this Agreement.

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PROVIDER SERVICE AGREEMENT
Provider Service Agreement • December 27th, 2021 • Michigan

This Agreement is made by and between Click or tap here to enter text. (hereinafter referred to as “CMHSP” and Click or tap here to enter text. (hereinafter referred to as “Provider” each may be referred to hereinafter from time-to-time as “Party” or “Parties”).

DentiCare Provider Service Agreement Terms of Use - Australian Orthodontic Practices
Provider Service Agreement • February 20th, 2022 • Queensland

This agreement and its terms and conditions are to ensure the parties engaged in working together under this agreement understand the function and application of the DentiCare Payment Solutions service, as well as each party understanding their responsibilities and obligations in the business relationship. If you have any questions in relation to these terms and conditions, please contact DentiCare at providerrelations@denticarepayplans.com.au or call 1300 633 472 to speak with your DentiCare Support Specialist. Any advice provided by DentiCare and its agents or employees is general in nature and you should seek independent legal advice regarding your rights and obligations under this agreement.

Provider Service Agreement
Provider Service Agreement • October 22nd, 2022
BRITISH CANOEING PROVIDER SERVICE AGREEMENT
Provider Service Agreement • December 28th, 2020

This PROVIDER SERVICE AGREEMENT (the ‘Service Agreement’) is made BETWEEN the Provider’s National Association Delivery Centre

STATE PROVIDERS’ AMENDMENT TO HEALTHCHOICE PROVIDER SERVICE AGREEMENTS
Provider Service Agreement • November 30th, 2022 • Maryland

THIS AMENDMENT is between , a Managed Care Organization, related managed care entity, provider network, or subcontractor thereof (“MCO”), which is licensed and doing business as a under the laws of the State of , with its principal and local offices at

PROVIDER SERVICE AGREEMENT
Provider Service Agreement • January 19th, 2024 • Michigan

This Provider Service Agreement (“Agreement”) serves to confirm the mutual understandings of (“CMHSP”), a Community Mental Health Services Program, and , (“Provider”), (hereby collectively

PARAMEDIC TRAINING ASSISTANCE GRANT APPLICATION PROVIDER / SERVICE AGREEMENT
Provider / Service Agreement • January 7th, 2016

Paramedic , hereinafter called the Provider, has met the requirements of the North Dakota Department of Health Rural Paramedic Training Reimbursement Distribution policy. The Provider agrees to serve on the Name of Ambulance Service Service Number , hereinafter called the EMS entity, for a period of no less than 2 years following initial licensure as a Paramedic by the North Dakota Department of Health, Division of Emergency Medical Services and Trauma (DEMS). The Provider must be certified through the National Registry of EMTs as well as licensed through the ND Department of Health, DEMS. The Provider agrees to serve the EMS entity in a full time capacity and shall be available for call and runs at times which are mutually agreed upon between the Provider and the EMS entity.Failure of the Provider to supply the amount of required service to the EMS entity shall constitute a default of this agreement and require the EMS entity to repay a prorated amount to the ND Department of Health

SERVICES CONTRACT‌
Provider Service Agreement • December 18th, 2019 • Michigan

This Agreement is made by and between Allegan County Community Mental Health Services, Community Mental Health of Ottawa County, HealthWest, Kent County CMH Authority d/b/a Network 180, West Michigan Community Mental Health (hereinafter referred to as “CMHSP” and Facility (hereinafter referred to as “Provider” each may be referred to hereinafter from time-to-time as “Party” or “Parties”).

ONE-YEAR PROVIDER SERVICE AGREEMENTS WITH NEW AND EXISTING PROVIDERS
Provider Service Agreement • April 23rd, 2012

One-year contracts are generally written for routine support services or short-term projects. Two of the Provider Services Agreements listed below are for short-term assistance with special projects (indicated with *) where the work will not be repeated in following years.

Premier Dental Network Provider Service Agreement
Provider Service Agreement • November 16th, 2009 • Illinois

This agreement is between PDN, and the Provider, , a duly licensed dentist, or a recognized entity to provide dental services in the state of Illinois.

Contract
Provider Service Agreement • April 3rd, 2017 • Illinois

This Provider Service Agreement (“Agreement”) is made this day of 20 (“Effective Date”), by and between First Transit, Inc. (“First”), a corporation duly licensed and operating in accordance with the laws of the State, and (“Provider”) organized and licensed to conduct business within the State.

PROVIDER SERVICE AGREEMENT
Provider Service Agreement • November 22nd, 2019

Independent Contractor Relationship. While performing the services under this Agreement, it is mutually understood and agreed that Provider must act as an independent contractor and not as an agent or employee of Ambulance USA LLC ("AUSA"). AUSA shall neither have exercise control nor direction over the way Provider provides the services. Provider and its drivers/employees are in no respects agents, employees or legal representatives of AUSA and shall have no power or authority to bind AUSA or to assume or create any obligation or responsibility, express or implied, on behalf, or in the name

PROVIDER SERVICE AGREEMENT
Provider Service Agreement • November 22nd, 2019

Independent Contractor Relationship. While performing the services under this Agreement, it is mutually understood and agreed that Provider must act as an independent contractor and not as an agent or employee of Ambulance USA LLC ("AUSA"). AUSA shall neither have exercise control nor direction over the way Provider provides the services. Provider and its drivers/employees are in no respects agents, employees or legal representatives of AUSA and shall have no power or authority to bind AUSA or to assume or create any obligation or responsibility, express or implied, on behalf, or in the name

BRITISH CANOEING PROVIDER SERVICE AGREEMENT
Provider Service Agreement • December 8th, 2017

does not convey the benefits of the Service Agreement to the employers, clients or customers of the Provider and the Provider must not portray this arrangement in any other form.

ODDS Provider Service Agreement PSW Hour Authorization Addendum
Provider Service Agreement • December 21st, 2023

This addendum modifies your current service agreement. This addendum only increases the number of hours you are authorized to work.

MyHealthCare Provider Service Agreement Terms of Use – Australian Practices
Provider Service Agreement • September 13th, 2022 • Queensland

This Agreement is to ensure the parties engaged in working together under this Agreement understand the function and application of the MyHealthCare Service, as well as each party understanding their responsibilities and obligations in the business relationship. If you have any questions in relation to these terms and conditions, please contact MyHealthCare at providerrelations@myhc.com.au or call 1300 810 321 to speak with your MyHealthCare support specialist. Any advice provided by MyHealthCare and its agents or employees is general in nature and you should seek independent legal advice regarding your rights and obligations under this Agreement.

Contract
Provider Service Agreement • December 18th, 2007
Local Guardians Provider Service Agreement Home Care Goods and Services
Provider Service Agreement • December 23rd, 2020
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