Afflllation Agreement Sample Contracts

KYCOM ADJUNCT CllNICAl FACUlTY AfflllATION AGREEMENT‌
Afflllation Agreement • January 24th, 2023

In order to start an academic file for you at Kentucky College of Osteopathic Medicine, we will need you to complete and return the following items:

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PHYSICIAN AFFLILIATION AGREEMENT
Afflllation Agreement • October 4th, 2018

This agreement with the University of Pikeville and it’s Kentucky College of Osteopathic Medicine (hereafter KYCOM), is solely intended to provide educational training opportunities for KYCOM students. With this affiliation, I agree to appointment as a KYCOM Adjunct Clinical Faculty or Guest Lecturer effective from the date signed below.

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