Treatment Services Agreement Sample Contracts

TREATMENT SERVICES AGREEMENT
Treatment 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.

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Amendment No. 1 to Treatment Services Agreement Dated February 1, 2002
Treatment 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.

FLAT RATE AGREEMENT BETWEEN COUNTY OF SAN MATEO AND HORIZON SERVICES, INC. for ALCOHOL AND DRUG TREATMENT SERVICES
Treatment Services Agreement • July 24th, 2006 • California

THIS AGREEMENT is entered into this _ day of _ , 20 , by and between the COUNTY OF SAN MATEO, hereinafter called "County," and Horizon Services, Inc. hereinafter called "Contractor";

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 4325001
Treatment 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.

SECOND AMENDMENT FOR NARCOTIC TREATMENT SERVICES AGREEMENT
Treatment Services Agreement • July 6th, 2022

This Second Amendment (“Amendment”) to the Agreement for Narcotic Treatment Services (Del Norte County Agreement #2021-148 and #2022-111) is made between the County of Del Norte, a political subdivision of the State of California (“COUNTY”), and Aegis Treatment Centers, LLC. (“CONTRACTOR”), (collectively the “Parties”), is entered into this day of , 2023.

TREATMENT SERVICES AGREEMENT
Treatment 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.

Contract
Treatment Services Agreement • May 17th, 2021
TREATMENT SERVICES AGREEMENT
Treatment 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.

Contract
Treatment Services Agreement • May 7th, 2007

AMENDMENT TO AGREEMENT BETWEEN THE COUNTY OF SAN MATEO AND SERVICE LEAGUE OF SAN MATEO COUNTY THIS AMENDMENT TO THE AGREEMENT, entered into this day of , 20 , by and between the COUNTY OF SAN MATEO, hereinafter called "County," and Service League of San Mateo County, hereinafter called "Contractor"; W I T N E S S E T H: WHEREAS, pursuant to Government Code, Section 31000, County may contract with independent contractors for the furnishing of such services to or for County or any Department thereof; WHEREAS, on August 1, 2006, under resolution # 068187, the parties entered into a Flat Rate Agreement (“the Original Agreement”) for FY 2006-07, to provide Alcohol And Drug Treatment Services; and WHEREAS, it is now necessary to amend the Original Agreement to provide additional services and add the sum of $117,943, which includes a Cost of doing Business Increase (COBI), for a new total of $346,958, and to extend the term to 12/31/2007. NOW, THEREFORE, IT IS HEREBY AGREED BY THE PARTIE

Contract
Treatment Services Agreement • August 27th, 2019
Treatment Services Agreement
Treatment 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.

AMENDMENT TO AGREEMENT BETWEEN THE COUNTY OF SAN MATEO AND
Treatment Services Agreement • November 19th, 2007

THIS AMENDMENT TO THE AGREEMENT, entered into this day of , 20 , by and between the COUNTY OF SAN MATEO, hereinafter called "County," and Free at Last, hereinafter called "Contractor"; W I T N E S S E T H: WHEREAS, pursuant to Government Code, Section 31000, County may contract with independent contractors for the furnishing of such services to or for County or any Department thereof; WHEREAS, on July 1, 2006, under Resolution 068187, the parties entered into a Flat Rate Agreement (“the Original Agreement”) for FY 2006-07, to provide Alcohol And Drug Treatment And Prevention Services; and WHEREAS, on February 27, 2007, under Resolution 068575, the parties amended the Original Agreement to add the sum of $82,848, for a new maximum obligation of $515,377; and WHEREAS, on June 5, 2007, under Resolution 068772, the parties amended the Original Agreement to add the sum of $265,420, for additional services, a Cost of Business Increase (COBI), for a new maximum obligation of $780,797, and to

RECITALS:
Treatment Services Agreement • October 30th, 2002 • Koppers Industries Inc • Lumber & wood products (no furniture) • Florida
Contract
Treatment Services Agreement • May 7th, 2007

SECOND AMENDMENT TO AGREEMENT BETWEEN THE COUNTY OF SAN MATEO AND FREE AT LAST THIS AMENDMENT TO THE AGREEMENT, entered into this day of , 20 , by and between the COUNTY OF SAN MATEO, hereinafter called "County," and Free at Last, hereinafter called "Contractor"; W I T N E S S E T H: WHEREAS, pursuant to Government Code, Section 31000, County may contract with independent contractors for the furnishing of such services to or for County or any Department thereof; WHEREAS, on August 1, 2006, under resolution # 068187, the parties entered into a Flat Rate Agreement (“the Original Agreement”) for FY 2006-07, to provide Alcohol And Drug Treatment And Prevention Services; and WHEREAS, on February 27, 2007, under resolution # 068575, the parties amended the Agreement to provide additional funding in the amount of $82,848, for Men’s Residential Services, for a new total of $515, 377; and WHEREAS, it is now necessary to amend the Original Agreement to provide additional services and ad

FLAT RATE AGREEMENT BETWEEN COUNTY OF SAN MATEO AND WOMEN'S RECOVERY ASSOCIATION for ALCOHOL AND DRUG TREATMENT SERVICES
Treatment Services Agreement • June 27th, 2006 • California

THIS AGREEMENT is entered into this _ day of _ , 20 , by and between the COUNTY OF SAN MATEO, hereinafter called "County," and Women's Recovery Association hereinafter called "Contractor";

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