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Appendix E JOSEPHINE COUNTY PROVIDER AGREEMENT Addiction ServicesTHIS AGREEMENT is hereby established by and between JOSEPHINE COUNTY (hereinafter “County “), and (hereinafter referred to as “Provider
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How to fill out josephine county provider agreement

01
Obtain a copy of the Josephine County provider agreement form.
02
Carefully read through the agreement to understand all the requirements and conditions.
03
Gather the necessary information and documentation needed to complete the agreement.
04
Fill out all the sections and fields of the agreement accurately and honestly.
05
Review the filled-out agreement for any errors or missing information.
06
Sign the agreement, along with any required witnesses or notaries, if applicable.
07
Make a copy of the completed agreement for your records.
08
Submit the filled-out agreement to the relevant Josephine County department or organization.

Who needs josephine county provider agreement?

01
Healthcare providers and organizations operating in Josephine County.
02
Individuals or entities seeking to provide services to Josephine County residents.
03
Businesses or professionals involved in healthcare-related activities within Josephine County.
04
Anyone entering into a contractual relationship with Josephine County government or agencies.

What is JOSEPHINE COUNTY PROVIDER AGREEMENT Form?

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