GP Name definition

GP Name. Signature: Date: Once signed please detach this sheet and Email to the number shown above. BACK-UP ADVICE AND SUPPORT
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GP Name. Signature: Date: Once signed please email or fax back to the team. CONSENT SECTION TO BE COMPLETED BY PATIENT / REPRESENTATIVE I agree*/don’t agree* to enter into a shared care arrangement for the above treatment (*delete as appropriate) Parent / Representative Name: ________________________Signature:__________________ Date:_____________________ BACK UP ADVICE AND SUPPORT Contact details Telephone Sandwell Base 0000 000 0000 Contact details Telephone Wolverhampton Base 01902 444 021 01902 444 021 Version Control Version Date of Approval Author/s Brief Description of Changes
Sample 1
GP Name. Signature: Date: Once signed please email or fax back to the team. CONSENT SECTION TO BE COMPLETED BY PATIENT / REPRESENTATIVE I agree*/don’t agree* to enter into a shared care arrangement for the above treatment (*delete as appropriate) Patient / Representative Name: Signature: Date: BACK UP ADVICE AND SUPPORT Contact details Telephone number Sandwell Base 0000 000 0000 Contact details Telephone number Wolverhampton Base 01902 444 021 Version Control Version Date of Approval Author/s Brief Description of Changes
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Examples of GP Name in a sentence

  • An agent will guide you and register your DSP*, or send a WhatsApp to 0861 84 32 36 with your member number.(Please provide the DSP GP Name and Practice number that must be linked to the family dependants (Name and date of birth).

  • CertificationI certify that I have examined this report and that to the best of my knowledge and belief, all statements in this report are true, correct and complete.Official Title: SVP ASSOC GEN COUN GOV AND REG AFFExact Legal Title or Name of Respondent: WXTV LICENSE PARTNERSHIP, G.P. Name: CHRISTOPHER G.

  • RECOMMENDATION: that the information be received and considered with Item A1) ofCommunications.

  • Reconciliation of Cash Provided by Operating Activities (GAAP) to Free Cash Flow (non-GAAP)This release refers to a non-GAAP measure of free cash flow, calculated as cash provided by operating activities, less additions to properties, plants, equipment and mineral interests.

  • Reference is again made in such e-mail to the possibility of expropriation.

  • Hearings on H.R. 7902, Readjustment of Indian Affairs, 73d Cong., 2d Sess., 1—7 (1934) (hereafter House Hearings).

  • Name of the SHG:Name of the VO: Name of the GP: Name of the SHG: Name of the VO:Name of the GP: Name of the SHG: Name of the VO:Name of the GP: Facilitator’s Note for Animal Husbandry - Individual Animal husbandry will include livestock like poultry, pigs, goats, cows, etc.

  • Table 4: Categorisation of Micro Enterprise MANUFACTURING3.1 Individual Micro Enterprise Name of the SHG: Name of the VO:Name of the GP: Name of the SHG: Name of the VO:Name of the GP: Name of the SHG: Name of the VO:Name of the GP: Facilitator’s Note for Individual MEs: 1.

  • The Executive Director provides an overview of the Board organization, information regarding issues facing the Board, and statutory responsibilities of the Board and its members.

  • District Sub-division *Block Name / MunicipalCorporation / Municipality * GP Name /Ward No. Village Name *Flat/House No. / Building Landmark *Street / Lane Name *Pin Code *Post Office *Police Station No member of my family has ever held a Ration Card prior to this.


More Definitions of GP Name

GP Name. Address: Telephone Number: Signature: Fax Number: Date: Email: Written by (clinician): Version 2 Written by (pharmacist): Xxxxxx Xxxxxxx 10 May 13 Date of issue: Approved by North Staffordshire Area Prescribing Committee (date): Review Date: Version number:2 Effective Shared Care Agreement for the treatment of: Mania, bipolar disorder and depression with lithium This shared care agreement outlines the ways in which the responsibilities for managing the prescribing of lithium will be shared between the specialist and general practitioner (GP). If the GP is not confident to undertake these roles, then he or she is under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition will remain with the specialist. If a specialist asks the GP to prescribe this drug, the GP should reply to this request as soon as practical. Sharing of care assumes communication between the specialist, GP and patient. The intention to share care should be explained to the patient by the doctor initiating treatment. It is important that patients are consulted about treatment and are in agreement with it. The doctor who prescribes the medication legally assumes clinical responsibility for the drug and the consequences of its use.
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GP Name. Signature: Date: ESCA for ADHD- Methylphenidate Page 1 of 8 Version 1.0 December 2018 Once signed please email or fax back to the team. CONSENT SECTION TO BE COMPLETED BY PATIENT / REPRESENTATIVE I agree*/don’t agree* to enter into a shared care arrangement for the above treatment (*delete as appropriate) Parent / Representative Name: Signature: Date: BACK UP ADVICE AND SUPPORT Contact details Telephone Sandwell Base 0000 000 0000 Contact details Telephone Wolverhampton Base 01902 444 021 Version Control Version Date of Approval Author/s Brief Description of Changes
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Related to GP Name

  • s Name Property Address: _________________________________________________________

  • Common name means any designation or identification such as code name, code number, trade name, brand name or generic name used to identify a chemical other than by its chemical name.

  • Print Name Signature: Date:

  • User Name means any user name allocated to the Customer for access to the Services;

  • Contact Name P osition : : A ddress : : Zip Code & City : : E -mail address : : T elephone # : : Fax#: Country : :

  • Company Name Address: Attention: Tel: Fax: Email: If sent to Cornell: For all correspondence except payments Center for Technology Licensing at Cornell University Attention: Executive Director 000 Xxxx Xxxx Xxxx, Xxxxx 000 Xxxxxx, XX 00000 FAX: 000-000-0000 TEL: 000-000-0000 EMAIL: xxx-xxxxxxxxx@xxxxxxx.xxx For all payments – If sent by mail: Center for Technology Licensing at Cornell University XX Xxx 0000 Xxxxxx, XX 00000-0000 If remitted by electronic payments via ACH or Fed Wire: Receiving bank name: Xxxxxxxx Trust Co. Bank account no.: 0111000065 Bank routing (ABA) no.: 000000000 SWIFT code: Bank account name: XXXXXX00 Cornell University Bank ACH format code: Not required Bank address: X.X. 000, Xxxxxx, XX 00000 Additional information: Reference D-5051 Agreement No.: <to be assigned> An email copy of the transaction receipt shall be sent to xxx-xxxxxxxxx@xxxxxxx.xxx. Licensee is responsible for all bank charges of wire transfer of funds for payments. The bank charges shall not be deducted from the total amount due to Cornell.

  • business name or "trade name" means the name of a licensed business as used by the licensee on signs and advertising.

  • Street Name means the form of registration in which the securities are held by a broker who is delivering the securities to another broker for the purposes of sale, it being an accepted custom in the United States securities industry that a security in Street Name is in proper form for delivery to a buyer and that a security may be re-registered by a buyer in the ordinary course.

  • By: Name Title: Date: Documents returned to Custodian: ---------------------------- as Custodian By____________________________ Name: Title: Date: EXHIBIT C ORIGINATORS EQUICREDIT CORPORATION OF AMERICA EQUICREDIT CORPORATION/ALA. & MISS. CALIFORNIA/EQUICREDIT CORPORATION EQUICREDIT CORPORATION OF IN. EQUICREDIT CORPORATION OF PA. EQUICREDIT CORPORATION OF SC EXHIBIT D Transfer Certificate ________ __, 199_ THE FIRST NATIONAL BANK OF BOSTON as Custodian under the Custodial Agreement (defined below) 100 Federal Street Boston, Massachusetts 02110 XX: Xxxxxxxxx Xxxxxxxxx, xxxxx xx xx March 1, 1997 (the "Custodial Agreement"), by and among the Originators listed in Exhibit C thereto (collectively, the "Originators"), Equicredit Corporation of America, as Representative (the "Representative") and as Servicer (the "Servicer"), EQCC Receivables Corporation and EQCC Asset Backed Corporation (collectively, the "Depositors"), First Bank National Association, as Trustee (the "Trustee") and The First National Bank of Boston, as Custodian (the "Custodian") To whom it may concern: Pursuant to Section 3.1 of the above-referenced Custodial Agreement (capitalized terms used herein but not otherwise defined shall have the same meanings assigned to such terms in the Custodial Agreement), we hereby advise you of the Transfer by the undersigned to [Depositor][the Trustee] of the Mortgage Loans identified on the Mortgage Loan Schedule[s] attached [hereto] [to the [Depositor's Trust Receipt[s]] with respect to the undersigned which we are delivering to you for cancellation]. You are instructed to deliver to [Depositor][the Trustee] a [Depositor's] [Trustee's] Trust Receipt evidencing [such Depositor's] [the Trustee's] interest in these Mortgage Loans. Very truly yours, [--------------------------------] By________________________________ Name: Title: SCHEDULE I MORTGAGE LOAN SCHEDULE

  • Project Name refers to the project title as stated in the legal agreement (Financing Agreement) between the World Bank and the Government. It should not be confused with the name of the UN Agency’s project or program financed from other sources.]

  • Legal Name means the name of the company, corporation or other entity constituted as a legal person under which this person exercises its rights and performs its obligations.

  • First Name XXXXX XXXX" and "XXXXX," or "XXXXXXX" and "XXXX."

  • Property Name Property Address: Control No.: The Mortgage File should be delivered to the following: ________________________________________ ________________________________________ ________________________________________

  • Chemical name means the scientific designation of a chemical in accordance with the nomenclature system developed by the International Union of Pure and Applied Chemistry (IUPAC) or the Chemical Abstracts Service (CAS) rules of nomenclature, or a name which will clearly identify the chemical for the purpose of conducting a hazard evaluation.

  • Product name means the name of the commercial feed which identifies it as to kind, class or specific use.

  • Trade name means the name of the Hotel set forth in the Addendum.

  • Generic name means a short title which is descriptive of the premium and benefit patterns of a policy or a rider.

  • GP LLC means Plains All American GP LLC, a Delaware limited liability company.

  • Authorized Signatory means such senior personnel of a Person as may be duly authorized and designated in writing by such Person to execute documents, agreements and instruments on behalf of such Person.

  • Bank Name AgAmerica FCB Short Name: AGAMER FCB Routing # (ABA): 125108298 Beneficiary Account Name: Farm Credit Services of America Beneficixxx Xxxxxnt Number: 81100-000 (Commercial Loan) Further Credit Account Name: The Chalone Wine Group, Ltd. Further Credit Account #: 89407-151 & 152 Contact: Judy Bachand (800) 348-0023 or Sue Bement (800) 348-0000 x0084 Contemporanexxx xxxx xxe xxxxx xxxxxronix xxxxx txxxxxxx, xxxx xx xxx the following information: (1) the full name, private placement number, interest rate and maturity date of the Notes; (2) the allocation of payment between principal, interest, premium and any special payment; and (3) the name and address of the Bank from which such transfer was sent, to: Farm Credit Services of America, PCA 206 South 19th Street Omaha, Nebraska 68102 Attention: Sue Bement Facsimile Xxxxxx: (000) 000-0000 Xxxxxxxxxxxx Xxxxxx: (402) 348-3000 Xxx xther notices and coxxxxxxxxxxxx xo be addressed as firsx xxxxxxxx xxxve. Name of Nominee in which Notes are to be issued: None Taxpayer I.D. Number: 47-0373522 SCHEDULE A (to Note Purchase Agreement) Principal Amount and Series Name and Address of Purchaser of Notes to be Purchased ----------------------------- ---------------------------- AGSTAR FINANCIAL SERVICES, PCA $10,000,000 Series B Notes DBA FARM CREDIT SERVICES COMMERCIAL FINANCE GROUP 1921 Premiere Drive PO Box 4249 Mankato, MN 56002-4249 Attention: James Jonex Xxxxxxxxx Xxxxxx: (000) 000-0000 Xxxxxxxxxxxx Xxxxxx: (507) 345- 0000 Xxyments All paymenxx xx xx xx respect of the Notes to be by bank wire transfer of Federal or other immediately available funds at the opening of business on the due date thereof (identifying each payment as "The Chalone Wine Group, Ltd 8.78% Senior Guaranteed Notes, Series B, Due September 15, 2010, PPN 157639 A@ 4, principal, premium or interest") to: Bank Name: AgriBank St Paul Routing Number: 0960 1697 2 Remitter: Agent Bank for Chalone Wine Group Xxxdline: Wire must be sent to AgriBank by 2 p.m.

  • Logo means the SAP Partner logo as detailed in the SAP Partner Logo Usage Guidelines.

  • Name of Project means “Project No. Project Number and Description”

  • Street Address City: State: Zip: Code: Contact Person: Telephone Number: E-mail Address: Dates of Service: Value/Cost of Service: $ Brief Description of Service Provided: REFERENCE 3 Name of Firm:

  • Account Name means the name of the individual who lives with the child(ren) and who applies for the Children’s Health Insurance Program coverage on behalf of the child(ren).

  • Service address means the service address of a member or the body corporate in terms of rule 4; and

  • Limited partnership means a limited partnership registered or formed under any law in force in Singapore or elsewhere;