Practice Name. Date: .........................................................................................................................................................
Practice Name. [Xxxxx Xxxx University of London (for Genes & Health)] CCG Area:A12 5NG BHR CCGs Data Sharing Agreement Reference Number: 019 DSA Status: Pending Please provide details of the field(s) of data to which you are requesting access (“Requested Data”). primary care GP data: diagnoses, problems, clinical measurements, laboratory pathology and radiology results, prescribing. Same SQL query as being used for inner East London 4 CCG Discovery Please state the purposes/reasons for which you require access to the Requested Data. We request access to the Requested Data for biomedical research. All volunteers have given individual written consent for health data access for the duration of the study. Genes & Health (local name East London Genes & Health) is a long-term population-based study (40,305 volunteers at 22 July 2019)) of British-Bangladeshi and -Pakistani volunteers aged 16+ years in east London with linked genomic and multi-source e-health record data, with ability to invite volunteers for recall for further research. ELGH is currently funded by MRC, NIHR, HEFCE-Catalyst, and Wellcome to recruit 100,000 volunteers by 2023. It is a resource enabling many scientific questions, with priority areas of diabetes, cardiovascular disease and mental health research. We have recruited volunteers with NIHR North Thames Clinical Research Network support from many GP practices in the Barking and Dagenham, Havering and Redbridge Clinical Commissioning Groups area. Other volunteers also live in the area and are registered with GPs. Our website (xxx.xxxxxxxxxxxxxx.xxx, twitter @eastlondongenes and Cohort Profile ( xxxxx://xxx.xxxxxxx.xxx/content/10.1101/426163v2) describes the study in much greater depth, and describes our existing health record data linkages using volunteers’ NHS numbers. We have valid NHS numbers on >98% of volunteers. We have already access primary care NHS data from 4 inner East London CCGs, Bradford (for Bradford Genes & Health) and secondary care NHS data from Barts Health NHS Trust. Data will be stored and processed at 1. Xxxxx Xxxx University of London, 2. Data safe haven with export controls (bring researchers to the data model), currently UKSERP (HDR-UK Swansea), run by Xxxxx Xxxx University of London. Purpose of the Requested Data: Genes & Health will correlate genetic information with the requested information from health records, in order to link the two and better understand human biology and disease processes. Genes & Health long term aim is t...
Practice Name. Date:........................................................................................................................................................... Schedule A Start Date: .......................................................................................................... Monthly Support Fee excluding GST Direct Credit & Company Details: Payment is to be made by either direct debit or credit card. Please fill out the details below if you would like your credit card debited automatically each month. Otherwise a direct debit link will be emailed or texted. Card Type: ................................................................................................................ Name on Card: .........................................................................................................
Practice Name. 3 2. Termination of Service Agreement/Settlement of all Claims............................3 (a) Termination of Service Agreement...............................................3 (b) Modification of Service Fee....................................................3 3. Purchased Assets - Free and Clear of Liens/Release of Liens on Hem-Onc's Assets......4 4.
Practice Name. All rights of Response in and to the name "Hematology Oncology Associates of the Treasure Coast", and all variations thereof (the "Assigned Name"). The Assigned Assets, Assigned Contracts, Assigned Prepayments, Assigned Records and Assigned Name are, collectively, referred to herein as the "Purchased Assets".
Practice Name. All rights of Response in and to the name "THE CENTER FOR HEMATOLOGY-ONCOLOGY" and all variations thereof, and to the telephone numbers, web site names, domain names, and relevant intellectual property, if any, relating to the Center.
Practice Name. All rights of Response in and to the name "CANCER CARE OF EAST TENNESSEE," "ONCOLOGY & HEMATOLOGY CONSULTANTS, PLLC" and all variations thereof.
Practice Name. Name of Authorised Partner ....................................... SIGNATURE
