Therapy Services AgreementTherapy Services Agreement • December 11th, 2023
Welcome to Moxie Incorporated, Center for Life Health, Ltd. This document contains important information about our professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a new federal law that provides new privacy protections and new patient
ContractTherapy Services Agreement • June 24th, 2021 • California
NARCOTIC REPLACEMENT THERAPY SERVICES AGREEMENT BETWEEN THE COUNTY OF MARIPOSAANDAEGIS TREATMENT CENTERS, LLCFiscal Years 2021-2024 LEGAL ENTITY: AEGIS TREATMENT CENTERS, LLC Contract Number 1317 Route 73 North, Suite 200, Mount Laurel, NJ 08054Central Office Address Legal Entity Number 590 Rio Lindo Ave., Chico, CA 95926 Facility Address: (Provider) Provider number(s)
Physical Therapy Contract TemplateTherapy Services Agreement • July 20th, 2021
Sample Patient Agreement Forms National Institute on. GUILFORD COUNTY SCHOOLS UNC School of Medicine. TEMPORARY EMPLOYMENT CONTRACT Hobohealth. PHYSICAL THERAPY SERVICES. Physical Therapy Evaluation Form 2 Free Templates in PDF. Clinical Contracts Agreements EWU. Patient Forms JMP Physical Therapy amp Personal Fitness. Massage Therapist Independent Contractor Agreement Work. List Rental Services RENTAL AGREEMENT APTA. Occupational Therapy Services Sample Proposal 5 Steps. Bid Proposal Specifications Occupational Physical and. Physical Therapy Office Forms Small Business Free Forms. AGREEMENT BETWEEN THE BOARD OF REGENTS OF THE UNIVERSITY. CONFIDENTIALITY Neurofeedback. REQUESTS FOR PROPOSALS
LICENSED MASSAGE THERAPY SERVICES AGREEMENTTherapy Services Agreement • August 5th, 2020
THIS THERAPEUTIC MASSAGE SERVICE AGREEMENT (herein called this “Agreement”), made as of this day of , 19 , by and between THE HOTEL COMPANY, and Massage Inc. (herein called “Coordinator”).
THERAPY SERVICES AGREEMENTTherapy Services Agreement • June 12th, 2022 • Virginia
This Therapy Services Agreement (“Agreement”) is made effective as of March 20, 2022 (“Effective Date”) between K12 Virtual Schools LLC (“K12”), a Delaware limited liability company, with its principal place of business at 2300 Corporate Park Drive, Herndon, VA 20171 and PROVIDER (“Provider”), a(n) Georgia Limited Liability Company (LLC) having a principal place of business at 123 Future Way, , Anywhere, USA 12345 (each is a “Party,” and collectively, the “Parties”). Capitalized terms shall have the meaning set forth herein or in the applicable Addendum incorporated into this Agreement.
THERAPY SERVICES AGREEMENT BETWEENTherapy Services Agreement • April 5th, 2021 • Wisconsin
This THERAPY SERVICES AGREEMENT is entered into by and between Upland Hills Health, Inc. (hereinafter “Hospital”) and the River Valley School District Board of Education (hereinafter “School”).
THERAPY SERVICES AGREEMENTTherapy Services Agreement • October 14th, 2020
If you need to cancel because of illness or another pressing commitment, please call the front desk staff at the scheduled office you are seen at as soon as possible.
Therapy Services Agreement AdultTherapy Services Agreement • February 4th, 2022
Client Information Client’s Name: Date of Birth (yyyy-mon-dd): Full Address: Phone Number: Is it okay to leave a message? E-mail: Is it okay to communicate through e-mail? (please note, confidentiality cannot be guaranteed via e- mail) Confidentiality All communication regarding treatment and all records relating to the provision of therapy services are confidential and will not be disclosed without written consent. The law does however; place limits on confidentiality related to specific disclosures. These include:1. Risk of imminent danger to self or other2. Abuse of child or a vulnerable adult3. Court ordersIf you disclose involvement in illegal activities, I reserve the right to take action based on the informationprovided and my discretion. This may include sharing the information with relevant bodies such as the police. Informed Consent Examples of problems you may be experiencing that may benefit from accessing services at Willow Therapy include abuse, ad
Occupational Therapy Services Agreement Between:Therapy Services Agreement • May 30th, 2024
This service agreement is entered into this 23rd day of April 2024 (“Effective Date”) by and between Cincinnati Occupational Therapy Institute, Inc., an Ohio corporation located at 4440 Carver Woods Drive, Cincinnati, Ohio 45242 (“COTI”) and Forest Hills Local School District, 7946 Beechmont Avenue, Cincinnati, OH 45255 (“School”). This service agreement is for the 2024-2025 school year beginning in August 2024 and continuing through June 2025.
THERAPY SERVICES AGREEMENT CONSENTTherapy Services Agreement • January 9th, 2013
This form is used to acknowledge and confirm your understanding and agreement of the services. Your signature below indicates your approval.
Therapy Services Agreement 2021-22Therapy Services Agreement • August 17th, 2021 • Idaho
Term of agreement and Termination: This agreement shall remain in effect for a period of one (1) year and may be terminated by either party at any time, with or without cause, by delivery of no less than 30 days advance written notice of termination.
ADDENDUM TO THERAPY SERVICES AGREEMENTTherapy Services Agreement • June 12th, 2022
This addendum (“Addendum”) to the Therapy Services Agreement (“Agreement”) between K12 Virtual Schools L.L.C. (“K12”) and [PROVIDER NAME] (“Provider”) with an effective date of [EFFECTIVE DATE] shall become effective on the date that it bears the signature of both Parties.
EXHIBIT 10.44Therapy Services Agreement • March 31st, 1997 • Centennial Healthcare Corp • Tennessee
THERAPY SERVICES AGREEMENT EXTENDED SCHOOL YEAR 2023Therapy Services Agreement • June 6th, 2023 • Ohio
THIS AGREEMENT is made this day of 2023, by and between EXCEPTIONAL KIDS THERAPY SERVICES, LLC., hereafter referred to as EKTS and WILLOUGHBY-EASTLAKE CITY SCHOOLS hereinafter referred to as CLIENT.
