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WV-96 Rev. 9/11 AGREEMENT ADDENDUM In the event of conflict between this addendum and the agreement, this addendum shall control: 1. DISPUTES Any references in the agreement to arbitration or to the

How to fill out agreement addendum - wvhin

How to Fill Out Agreement Addendum - WVHIN

To fill out an agreement addendum for WVHIN (West Virginia Health Information Network), follow these steps:

1. Identify the agreement: Determine which agreement requires an addendum. Familiarize yourself with the terms and conditions of the original agreement.
2. Understand the purpose: Clearly understand the purpose of the addendum. It may be for amendments, extensions, or any specific changes to the original agreement.
3. Gather necessary information: Collect all the relevant information required to fill out the addendum. This could include names of parties involved, effective dates, references to the original agreement, and specific details of the changes to be made.
4. Review the existing agreement: Go through the original agreement and identify which sections or clauses need to be modified, added, or removed. Carefully note down these changes.
5. Draft the addendum: Create a new document or use a template to draft the addendum. Ensure that the formatting, font, and structure of the addendum align with the original agreement for consistency.
6. Clearly state the purpose: Begin the addendum by clearly stating the purpose of the document. Briefly explain the reason for the addendum and reference the original agreement.
7. Describe the changes: Provide a detailed description of the changes to be made. Use clear and concise language, including specific references to the sections or clauses that need modification.
8. Include necessary signatures: Once the addendum is complete, ensure that all parties involved sign the document. Obtain the necessary signatures to make the addendum legally binding.

Who Needs Agreement Addendum - WVHIN?

An agreement addendum for WVHIN may be required by various parties, including:

1. WVHIN Participants: Healthcare providers, hospitals, clinics, or any entity participating in the West Virginia Health Information Network may need to submit an agreement addendum to make changes to their existing agreements.
2. Data Partners: Organizations that share or exchange health information with WVHIN may also require an agreement addendum to update their existing arrangements.
3. Service Providers: Third-party vendors or service providers that offer support or technology solutions to WVHIN participants may need to modify their agreements through an addendum.

In summary, anyone who has an existing agreement with WVHIN and needs to make changes, amendments, or extensions to that agreement may require an agreement addendum. It is crucial to go through the proper process of filling out and submitting the addendum to ensure compliance with WVHIN requirements.

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What is agreement addendum - wvhin?

An agreement addendum - wvhin is a supplementary document that is added to an existing agreement in order to modify, clarify, or add additional terms.

Who is required to file agreement addendum - wvhin?

The parties involved in the original agreement are typically required to file an agreement addendum - wvhin.

How to fill out agreement addendum - wvhin?

To fill out an agreement addendum - wvhin, parties must list the changes or additions being made to the original agreement and include any necessary signatures.

What is the purpose of agreement addendum - wvhin?

The purpose of an agreement addendum - wvhin is to document any changes or additions to an existing agreement in a formal and legally-binding manner.

What information must be reported on agreement addendum - wvhin?

The agreement addendum - wvhin must include a clear explanation of the changes or additions being made, along with the signatures of all parties involved.

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