Department Service Agreement Sample Contracts

Department Service Agreement Oncology and Family Medicine Departments
Department Service Agreement • November 30th, 2020

The following is a collaborative service agreement between the Oncology and Family Medicine Departments. The departments agree on the following scope of practice for the provision of primary care.

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ANMC Department Service Agreement Behavioral Health and Women’s Health Departments
Department Service Agreement • November 6th, 2021

The following is a collaborative service agreement between Behavioral Health and Women’s Health Departments. The departments agree on the following scope of practice for the provision of primary care.

ANMC Department Service Agreement Pediatrics and Women’s Health Clinic Departments
Department Service Agreement • October 16th, 2020

The following is a collaborative service agreement between Pediatrics and Women’s Health Clinic Departments. The departments agree on the following scope of practice for the provision of primary care.

Department Service Agreement
Department Service Agreement • August 29th, 2021

The following is a collaborative service agreement between the Complementary Medicine (CMC) and Valley Native Primary Care Center. The departments agree on the following service agreement for the provision of primary and specialty care.

Department Service Agreement
Department Service Agreement • January 31st, 2022

▪ Chiropractic: All referrals must be of a musculoskeletal nature, please refer to ‘Consultation Guidelines for Chiropractic’.

Balch Springs Water Department Service Agreement
Department Service Agreement • March 16th, 2018

City of Balch Springs Water Department is responsible for protecting the drinking water supply contamination or pollution which could result from improper private distribution system construction or configuration. The purpose of this service agreement is to notify each customer of the restrictions which are in place to provide the protection. The Water Department enforces these restrictions to ensure the public health and welfare. Each customer must sign this agreement before the Water Department will begin service. In addition, when service to an existing connection has been suspended or terminated, The Water Department will not re-established service unless it has a signed copy of this agreement.

Department Service Agreement
Department Service Agreement • November 24th, 2021

The following is a collaborative service agreement between Urgent Care Center and Women’s Health Departments. The departments agree on the following scope of practice for the provision of women’s health care.

Department Service Agreement
Department Service Agreement • January 31st, 2022

The following is a collaborative service agreement between the Complementary Medicine (CMC) and Pediatric departments. The departments agree on the following service agreement for the provision of primary and specialty care.

Department Service Agreement Urology and Pediatrics Departments
Department Service Agreement • November 13th, 2020

The following is a collaborative service agreement between the Urology and Pediatrics Departments. The departments agree on the following scope of practice for the provision of primary care.

Department Service Agreement
Department Service Agreement • September 27th, 2021

The following is a collaborative service agreement between the Complementary Medicine (CMC) and Primary Care Departments. The departments agree on the following service agreement for the provision of primary and specialty care.

Department Service Agreement Urology and Women’s Health Departments
Department Service Agreement • May 7th, 2023

The following is a collaborative service agreement between the Urology and Women’s Health departments. The departments agree on the following scope of practice for the provision of primary care.

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