Treatment Services Agreement Sample Contracts
TREATMENT SERVICES AGREEMENTTreatment Services Agreement • August 31st, 2022
This document also contains information about the Health Insurance Portability and Accountability Act (HIPAA) as related to your treatment relationship with your clinical provider and the Green House Group. HIPAA is a federal law which requires us to provide you with a Notice of Privacy Practices that protects patient rights regarding the use and disclosure of your Protected Health Information (PHI) for purposes of treatment, payment, and health care management. Detailed information related to HIPAA and our Privacy Practices are provided elsewhere in this document.
Amendment No. 1 to Treatment Services Agreement Dated February 1, 2002Treatment Services Agreement • May 3rd, 2007 • Koppers Inc • Lumber & wood products (no furniture)
THIS AMENDMENT NO. 1 (this “Amendment”) to the Treatment Services Agreement dated January 1,2002 (the “Contract”) between CSX Transportation, Inc. (“CSX”) a Virginia Corporation and Koppers Inc. (formerly known as Koppers Industries, Inc.), a Pennsylvania Corporation (hereinafter called “Koppers”) is effective the first day of February 1, 2007 by and between CSX and Koppers.
TREATMENT SERVICES AGREEMENT BETWEEN WEBB COUNTY AND P.I.L.L.A.R. FOR THE WEBB COUNTY TEXAS (TRAFFICKING) NETWORK DIVERSION (TEND) COURT, OFFICE OF THE GOVERNOR GRANT FUND NUMBER 4325001Treatment Services Agreement • June 7th, 2022 • Texas
Agreement made by and between the County of Webb (hereinafter referred to as “Webb County”) and the People with Ideas of Love, Liberty, Acceptance, and Respect (hereinafter referred to as “P.I.L.L.A.R.”), effective the 1st day of May 2022.
AGENCY/ EFFECTIVE AGREEMENT AGREEMENT AMENDMENT AMOUNT/ AGREEMENT VENDOR DATES TYPE AMOUNT AMENDMENT DESCRIPTION DESCRIPTIONTreatment Services Agreement • September 5th, 2024
Western Kentucky Regional Mental Health & Retardation Advisory Board425 Broadway StreetPaducah, KY 42001 July 30, 2020 -July 29, 2025 Treatment Services $942,700.00 Increase by $20,490.00; Federal Funds;Provide additional funds. Provide funds to give priority status to individuals referred by the AOC Specialty Court for substance abuse assessment or treatment ormental health assessment or treatment.
AGREEMENTTreatment Services Agreement • April 1st, 2024 • Nebraska
THIS AGREEMENT is made and entered into by and between the County of Lancaster, Nebraska, for the Lancaster County Department of Community Corrections,hereinafter referred to as “County”, and The Bridge Behavioral Health hereinafter referred to as “The Bridge”. Collectively the County and The Bridge may be referred to as “Parties,” and individually each may be referred to as a “Party.”
TREATMENT SERVICES AGREEMENTTreatment Services Agreement • August 30th, 2022
This document also contains information about the Health Insurance Portability and Accountability Act (HIPAA) as related to your treatment relationship with your clinical provider and the Green House Group. HIPAA is a federal law which requires us to provide you with a Notice of Privacy Practices that protects patient rights regarding the use and disclosure of your Protected Health Information (PHI) for purposes of treatment, payment, and health care management. Detailed information related to HIPAA and our Privacy Practices are provided elsewhere in this document.
ContractTreatment Services Agreement • May 17th, 2021
TREATMENT SERVICES AGREEMENTTreatment Services Agreement • August 27th, 2022
This document also contains information about the Health Insurance Portability and Accountability Act (HIPAA) as related to your treatment relationship with your clinical provider and the Green House Group. HIPAA is a federal law which requires us to provide you with a Notice of Privacy Practices that protects patient rights regarding the use and disclosure of your Protected Health Information (PHI) for purposes of treatment, payment, and health care management. Detailed information related to HIPAA and our Privacy Practices are provided elsewhere in this document.
AGENCY/ EFFECTIVE AGREEMENT AGREEMENT AMENDMENT AMOUNT/ AGREEMENT VENDOR DATES TYPE AMOUNT AMENDMENT DESCRIPTION DESCRIPTIONTreatment Services Agreement • November 2nd, 2021
Hope CenterP. O. Box 6 Lexington, KY 40588 October 01, 2019 -May 30, 2024 Treatment Services $931,200.00 Increase by $150,000.00; Federal Funds;Provide for additional funds. Provide funds for enhanced treatment services.
AGENCY/ EFFECTIVE AGREEMENT AGREEMENT AMENDMENT AMOUNT/ AGREEMENT VENDOR DATES TYPE AMOUNT AMENDMENT DESCRIPTION DESCRIPTIONTreatment Services Agreement • July 2nd, 2024
Comprehend, Inc. 611 Forest AvenueMaysville, KY 41056 July 01, 2023 -June 30, 2024 Treatment Services $12,500.00 Increase by $7,000.00; General Funds;Provide additional funds to continue treatment. Provide funds for substance abuse and mental health assessment/treatment services to participants referred by AOC Specialty Courts programs in Bracken, Fleming, Mason, and Lewiscounties to consult with Specialty Courts programs as-needed.
AGENCY/ EFFECTIVE AGREEMENT AGREEMENT AMENDMENT AMOUNT/ AGREEMENT VENDOR DATES TYPE AMOUNT AMENDMENT DESCRIPTION DESCRIPTIONTreatment Services Agreement • June 4th, 2024
New Vista of the Bluegrass, Inc. 1351 Newtown PikeLexington, KY 40511-1277 July 01, 2023 -June 30, 2024 Treatment Services $103,000.00 Increase by $40,500.00; General Funds;Provide additional funds. Provide funds for substance abuse and mental health assessment/treatment services to participants referred by AOC Specialty Courts programs in Breathitt, Wolfe, Knott, Lee, Owsley,Leslie, Letcher, and Perry counties to consult with Specialty Courts programs as-needed.
ContractTreatment Services Agreement • August 27th, 2019
Treatment Services AgreementTreatment Services Agreement • February 18th, 2018
Welcome to Jennifer Novello, LMSW, ACSW, PLLC. I am committed to providing caring and professional mental health care to all of my clients. As part of the delivery of mental health services, I have established this agreement regarding fees and other administrative issues.
TREATMENT AGREEMENTTreatment Services Agreement • September 19th, 2020
RECITALS:Treatment Services Agreement • October 30th, 2002 • Koppers Industries Inc • Lumber & wood products (no furniture) • Florida
AGENCY/ EFFECTIVE AGREEMENT AGREEMENT AMENDMENT AMOUNT/ AGREEMENT VENDOR DATES TYPE AMOUNT AMENDMENT DESCRIPTION DESCRIPTIONTreatment Services Agreement • May 6th, 2024
Lake Cumberland Mental Health Mental Retardation Board d/b/a The Adanta Group 130 Southern School RoadSomerset, KY 42501 July 01, 2023 -June 30, 2024 Treatment Services $50,000.00 Increase by $15,000.00; General Funds;Provide additional funds for remaining FY24 expenses. Provide funds for substance abuse and mental health assessment/treatment services to participants referred by AOC Specialty Courts programs in Adair, Casey, Clinton, Cumberland, Russell, Wayne, McCreary, Pulaski, Taylor, andGreen counties to consult with Specialty Courts programs as-needed.
ContractTreatment Services Agreement • September 15th, 2020
Welcome, and thank you for choosing the DBT Center of Lawrence (DBT Center) to assist you with your behavioral healthcare needs. Please read the following carefully, and feel free to ask for clarification should you have any questions.