Practice Address definition
Examples of Practice Address in a sentence
Name of Veterinarian: Name of Veterinary Practice: Address of Practice/Veterinarian: Phone number of Practice/Veterinarian: Date or Tentative Date of Appointment for Spay/Neuter: Purchaser certifies that this information is true and accurate.
All adult cat and kitten care is provided by: Veterinarian: Veterinary Practice: Address: The seller guarantees the kitten to be in good health at the time of purchase for a period of 48 hours.
Clinical system users = Total patient number = Total number of sites = Go-Live date = Practice name Practice Address (add Branch Address if applicable) Number of registered patients at each End User Site NHS Practic e Code GP Practice Clinical System * Practice Manager name Practice Manager Email address Practice Manager direct dial number The following terms apply to use of the API that is included within the licence grant.
Organisation/GP Practice name: Organisation/GP Practice Address: Name: Signature: Position:(DPO/SIRO/Caldicott Guardian or equivalent senior accountable person) Date: Organisation name: Organisation address: Name: Signature: Position:(DPO/SIRO/Caldicott Guardian or equivalent senior accountable person) Date CONTENTS CLAUSE 1.
Veterinarian/Name of Practice: Address: Telephone Number: Adopter agrees that Homeward Bound shall be permitted to speak to any veterinarian who has examined and/or treated the dog for purposes of ensuring compliance with this contract.
By: By: Print Name: (signature of officer, partner or individual duly authorized to sign) Title: Title: Date: Date: Employee Title: Outside Practice Name: Outside Practice Address: I understand that I am being granted access to HACKENSACK MERIDIAN HEALTH Electronic Health Record System (“HMH EHR”).
Initial Name of Veterinarian: Name of Veterinary Practice: Address of Practice/Veterinarian: Phone number of Practice/Veterinarian: Date or Tentative Date of Appointment for Spay/Neuter: Purchaser certifies that this information is true and accurate.
Practice Address Mobile Number (Mandatory Field) Alliance Medical Diagnostic Imaging LTD Registered office at portal house, Raheen business park, Raheen, Limerick, Ireland Registered in Ireland 441778 | T +▇▇▇▇▇▇▇▇▇▇▇ |F +▇▇▇▇▇▇▇▇▇▇▇ |▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇ AMFO R-IT-003 V4 Email address Signature Medical Council Number or CORU Number Date Important note: Please be aware the 'Alliance Medical Xero Portal' can only provide access to patient imaging and reports performed at the following locations.