TRAINING AFFILIATION AGREEMENT BETWEEN UNIFORMED SERVICES UNIVERSITY of the HEALTH SCIENCES (USUHS) AND MEDICAL FACILITY (VA FACILITY) for USUHS TRAINEES AT VA FACILITYTraining Affiliation Agreement • April 22nd, 2019
* VA Facility (or Facilities) may include VA Medical Centers, VA Community Based Outpatient Clinics (CBOC), VA Community Living Centers, VA Domiciliary Residential Rehabilitation Treatment Programs, and VA Vet Centers.
TRAINING AFFILIATION AGREEMENT BETWEEN MEDICAL FACILITY (VA FACILITY) forTraining Affiliation Agreement • April 22nd, 2019
* VA Facility (or Facilities) may include VA Medical Centers, VA Community Based Outpatient Clinics (CBOC), VA Community Living Centers, VA Domiciliary Residential Rehabilitation Treatment Programs, and VA Vet Centers.
NON-CLINICAL TRAINING AFFILIATION AGREEMENT Between OREGON HEALTH & SCIENCE UNIVERSITY AndTraining Affiliation Agreement • December 21st, 2020
This Training Affiliation Agreement is entered into as of the date of last signature below (“Effective Date”) by and between Oregon Health & Science University (“OHSU” or “Sending Agency”), an Oregon statutory public corporation, and (“CONTRACTING AGENCY”).
TRAINING AFFILIATION AGREEMENT BETWEEN MEDICAL FACILITY (VA FACILITY) for VA TRAINEES AT U.S. MILITARY MTFTraining Affiliation Agreement • April 22nd, 2019
* VA Facility (or Facilities) may include VA Medical Centers, VA Community Based Outpatient Clinics (CBOC), VA Community Living Centers, VA Domiciliary Residential Rehabilitation Treatment Programs, and VA Vet Centers.
TRAINING AFFILIATION AGREEMENT BETWEENTraining Affiliation Agreement • January 24th, 2018
Training Affiliation Agreements Established with UCSF GME*Training Affiliation Agreement • July 30th, 2018
*The following training affiliation agreements have been established with UCSF and the affiliated training sites listed below. This list is intended to inform programs of sites with which agreements have been established. Programs should not assume they are guaranteed the ability to rotate to a site listed below and must follow the UCSF Office of Graduate Medical Education Procedures for Away Rotations before starting a new rotation at any training site.
TRAINING AFFILIATION AGREEMENT BETWEENTraining Affiliation Agreement • January 24th, 2018
NON-CLINICAL TRAINING AFFILIATION AGREEMENT BetweenTraining Affiliation Agreement • September 24th, 2019
This Training Affiliation Agreement is entered into as of the date of last signature below (“Effective Date”) by and between Oregon Health & Science University (“OHSU” or SENDING AGENCY), an Oregon statutory public corporation, and Contracting Agency Name (“CONTRACTING or HOST AGENCY”).
TRAINING AFFILIATION AGREEMENTTraining Affiliation Agreement • February 11th, 2020
TRAINING AFFILIATION AGREEMENTTraining Affiliation Agreement • April 2nd, 2019
This Training Affiliation Agreement is entered into as of the date of last signature below (“Effective Date”) by and between Oregon Health & Science University (“OHSU”), an Oregon statutory public corporation, and Klamath County Public Health (“CONTRACTING AGENCY”).
TRAINING AFFILIATION AGREEMENTTraining Affiliation Agreement • February 11th, 2020
COMPLIANCE WITH THIS PUBLICATION IS MANDATORYTraining Affiliation Agreement • August 21st, 2019
This manual implements Air Force Policy Directive (AFPD) 44-1, Medical Operations. It describes the procedures for establishing Air Force Medical Service training affiliation agreements (TAA). It applies to all Air Force units and uniformed members and employees in the Regular Air Force, Air Force Reserves, and Air National Guard with one exception: it does not apply to the Air Force Institute of Technology (AFIT). This instruction interfaces with Title 28, U.S.C., Section 2679, and Air Force Instruction (AFI) 51-302, Medical Law. The authorities to waive wing/unit level requirements in this publication are identified with a Tier (“T-0, T-1, T-2, T-3”) number following the compliance statement. This manual requires the collection and/or maintenance of information protected by Title 5 United States Code Section 552a, Privacy Act of 1974, authorized by 10 U.S.C. 55, Medical and Dental Care, and E.O. 9397 (SSN). The applicable SORNs F044 AF SG D, Automated Medical/Dental Record System (Au
TRAINING AFFILIATION AGREEMENTTraining Affiliation Agreement • March 10th, 2021
This Agreement made by and between [insert name & address here], and its professional staff as employees, agents and independent contractors, individually and collectively ("Affiliate"), and the Arizona Board of Regents acting on behalf of The University of Arizona, (College of Science, Department of Speech, Language and Hearing Sciences), pursuant to Arizona Revised Statutes Title 15, Chapter 13, Article 2, Section 1625.B.2 ("University"), collectively the “Parties.”
NON-CLINICAL TRAINING AFFILIATION AGREEMENT Between PORTLAND STATE UNIVERSITY And HOST AGENCY NAMETraining Affiliation Agreement • February 20th, 2020 • Oregon
This Training Affiliation Agreement is entered into as of the date of last signature below (“Effective Date”) by and between Portland State University (“PSU” or “Sending Agency”), a State of Oregon public university, and Host Agency Name (“CONTRACTING AGENCY” or “Host Agency”), individually a “party”, collectively the “parties”.
TRAINING AFFILIATION AGREEMENT (Updated 5/08/16)Training Affiliation Agreement • May 8th, 2016
WHEREAS, Yale University [hereinafter “Yale”], through its Department of Psychiatry, wishes to provide educational experiences to graduate students both in the Department and through its affiliated institutions; and
TRAINING AFFILIATION AGREEMENT BETWEENTraining Affiliation Agreement • January 24th, 2018
TRAINING AFFILIATION AGREEMENT REQUEST FORM (SOM)Training Affiliation Agreement • July 19th, 2018
AGREEMENT SUMMARY REQUEST DATE: DATE OF NEXT SCHEDULED ROTATION: TYPE:DOMESTIC INTERNATIONAL TRAINEE TYPE:CLINICAL PSYCH GME OTHER: NO. OF TRAINEES: INCOMING OUTGOING NEW RENEWAL AMENDMENT FREQUENCY OF USE: REGULAR ONE-TIMEFACILITY:HOSPITAL MEDICAL GROUP SINGLE PHYS AGREEMENT REQUIRED BY ACCREDITING ORG? YES NO IF YES, SPECIFY ORG: ACGMEOTHER: UCSF INFORMATION UCSF GME PROGRAMS ROTATING TO AFFILIATE SITES (SPECIFY, IF ANY): UCSF GME REQUESTOR CONTACT:NAME:ADDRESS:CAMPUS BOX:PHONE: FAX:EMAIL: TRAINEE DUTIES: CLINICAL RESEARCH (THE TRAINEE WILL HAVE NO PATIENT CONTACT OR PATIENT CARE DURING THE RESEARCH) PROVIDE BRIEF DESCRIPTION: AFFILIATE INFORMATION SITE NAME:MAILING ADDRESS CONTACT FOR CONTRACT DETAILSNAME: STREET: TITLE: CITY/STATE: EMAIL: ZIP: COUNTRY: PHONE: FAX: PHONE: FAX: MAILING ADDRESS: (IF SAME AS SITE MAILING ADDRESS, CHECK BOX) TRAINING LOCATION DETAILS(IF DIFFERENT THAN ABOVE SITE ADDRESS) SIGNATORY CONTACT DETAILS(IF DIFFERENT THAN ABOVE CONTRACT CONTACT) STREET: NA
TRAINING AFFILIATION AGREEMENTTraining Affiliation Agreement • June 4th, 2010 • Texas
Sponsoring Agency Affiliated Training Agency (Name of Clinical Facility) Global Physics Solutions –Division of Education and Training (Street Address) 100 East Wayne Street, Suite 140 (City, State, Zip Code) South Bend, Indiana 46601 Designated Contact Person: Program Coordinator: (Name) Becky Fletcher (Email) Email: becky.fletcher@globalphysics.net (Phone) Phone: 866-537-2200 (Fax) Fax: 574-232-2405
TRAINING AFFILIATION AGREEMENT BETWEENTraining Affiliation Agreement • January 24th, 2018
TRAINING AFFILIATION AGREEMENT BETWEENTraining Affiliation Agreement • January 24th, 2018
TRAINING AFFILIATION AGREEMENT BETWEEN MEDICAL FACILITY (VA FACILITY) for AFIT TRAINEES AT VA FACILITYTraining Affiliation Agreement • April 19th, 2019
* VA Facility (or Facilities) may include VA Medical Centers, VA Health Care Centers (HCC), VA Community Based Outpatient Clinics (CBOC), VA Community Living Centers, VA Domiciliary Residential Rehabilitation Treatment Programs, VA Sponsored Residency Programs and VA Vet Centers.
TRAINEE AGREEMENT ADDENDUMTraining Affiliation Agreement • February 11th, 2015
