Patient Assistance Sample Contracts

This Agreement is between Avedro, Inc. (“Avedro”) and (“Practice”), collectively, the “Parties,” each at the office addresses

Patient Assistance • August 25th, 2020

• Contract Type
  Patient Assistance
• Filed
  August 25th, 2020

provided below. In order to improve patient access to safe, high-quality, FDA-approved products and procedures, the Parties voluntarily agree to the following Avedro Patient Assistance Program (“PAP”) Terms and Conditions. This Agreement shall be deemed to extend to any healthcare providers that are associated with, or practice in connection with, the Practice (collectively, “Providers”) and Providers shall be bound by the terms hereof.

This Agreement is between Avedro, Inc. (“Avedro”) and (“Provider”), collectively, the “Parties,” each at the office addresses

Patient Assistance • March 2nd, 2020

• Contract Type
  Patient Assistance
• Filed
  March 2nd, 2020

provided below. In order to improve patient access to safe, high-quality, FDA-approved products and procedures, the Parties voluntarily agree to the following Avedro Patient Assistance Program (“PAP”) Terms and Conditions.

DATA SHARING PARTNER AGREEMENT

Patient Assistance • January 6th, 2022

• Contract Type
  Patient Assistance
• Filed
  January 6th, 2022

This Data Sharing Agreement (the “Agreement”) for the exchange of enrollment information is entered into between [insert data sharing partner name], with its principal address at [insert data sharing partner address] and the United States Department of Health and Human Services, acting by and through the Centers for Medicare & Medicaid Services (“CMS”) (the “Parties”) on this