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picture1_Agreement Of Services Template 205322 | Sample Linkage Referral


 83x       Filetype PDF       File size 0.09 MB       Source: www.health.ny.gov


File: Agreement Of Services Template 205322 | Sample Linkage Referral
AGENCY LETTERHEAD  Linkage Agreement  Between    TESTING AGENCY NAME AND ADDRESS  And  REFERRAL AGENCY NAME AND ADDRESS    PURPOSE  OF  LINKAGE  AGREEMENT:  The  purpose  of  this  linkage  agreement  is  to  ...

icon picture PDF Filetype PDF | Posted on 11 Feb 2023 | 1 year ago

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...Agency letterhead linkage agreement between testing name and address referral purpose of the this is to acknowledge collaborative relationship that exists outline cooperative efforts above named agencies coordinate integrate services care for individuals who are infected with hepatitis c virus hcv or have reactive positive rapid test results staff both will document provided conduct followup as necessary appropriate confidentiality releases obtained u nder terms agrees refer clients a antibody diagnostic rna contact appointments result obtain client s signed consent release confidential information in order provide copy referred under accept referrals from verify receipt medical evaluation specialized based on needed general agree secure authorization prior sharing clientidentifying neither party hold other financially responsible remain effect until terminated by one parties via written day notice responsibility coordination shall be below his her designee signature title date sample...
								

							

						
	
												
				
					
					
					
			
					
				
				
		
	

	
		





	

	
				

						

						
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										Category:  Uncategorized / Uncategorized 
										
Posted on: 11 Feb 2023 | 1 year ago
										
										
Tag:
																																		download pdf,
																								sample,
																								linkage,
																								referral,
											                                        
																				
Filetype: PDF
										
File size: 0.09 MB
										
Views: 83x
										
Uploaded by:
										
										
										

										Wan learn
											

												Wan learn