Get the free nc bcccp agreement addendum

SAMPLE NORTH CAROLINA BREAST AND CERVICAL CANCER CONTROL PROGRAM NC BCCCP RESCREENING POLICY Provider The Provider recognizes the need for BCCCP eligible women to be re-screened for breast and cervical cancer according to the NC BCCCP Contract Addendum and the NCBCCCP screening guidelines see the NCBCCCP Mammography Rescreening Policy July.

How to fill out nc bcccp agreement addendum

How to fill out the NC BCCCP Agreement Addendum:

1. Obtain a copy of the NC BCCCP Agreement Addendum form.
2. Carefully read through the instructions and requirements provided on the form.
3. Fill in your personal information, including your name, address, and contact details.
4. Provide any additional required information specific to your situation, such as your income or insurance details.
5. Review the terms and conditions of the addendum and ensure you understand them fully.
6. Sign and date the addendum form.
7. Make a copy of the completed form for your records.
8. Submit the filled-out addendum as instructed, either by mail or electronically, depending on the given instructions.

Who needs the NC BCCCP Agreement Addendum:

1. Individuals who are participants of the NC Breast and Cervical Cancer Control Program (BCCCP) may need to fill out the addendum.
2. Any person who is required to update their personal information or provide additional details relevant to their participation in the BCCCP may need to complete the addendum.
3. Those who wish to make changes to their agreement with the BCCCP or acknowledge any policy updates may need to fill out the addendum.

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What is nc bcccp agreement addendum?

The nc bcccp agreement addendum is a document that serves as an extension or modification to the existing agreement between the North Carolina Breast and Cervical Cancer Control Program (BCCCP) and its participants.

Who is required to file nc bcccp agreement addendum?

All participants of the North Carolina Breast and Cervical Cancer Control Program (BCCCP) are required to file the nc bcccp agreement addendum.

How to fill out nc bcccp agreement addendum?

To fill out the nc bcccp agreement addendum, participants must follow the instructions provided by the North Carolina Breast and Cervical Cancer Control Program (BCCCP). These instructions typically include specifying any proposed changes or additions to the original agreement.

What is the purpose of nc bcccp agreement addendum?

The purpose of the nc bcccp agreement addendum is to document any modifications or extensions to the existing agreement between the North Carolina Breast and Cervical Cancer Control Program (BCCCP) and its participants.

What information must be reported on nc bcccp agreement addendum?

The specific information required on the nc bcccp agreement addendum may vary, but it generally includes details about the proposed changes or additions, as well as the agreement effective date and participant identification information.