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EXECUTION VERSIONHEALTH SYSTEM COMBINATION AGREEMENT BY AND BETWEEN ST. JOSEPH HEALTH SYSTEM AND.PROVIDENCE HEALTH & SERVICES November 23, 2015DM US 6324287714.018347 .0057TABLE OF CONTENTS Page ARTICLE

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How to fill out health system combination agreement

01

Step 1: Start by gathering all the necessary information and documents required to fill out the health system combination agreement. This may include personal information, medical history, insurance details, and any other relevant data.

02

Step 2: Carefully read through the agreement form to understand its contents, terms, and conditions.

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Step 3: Fill out the agreement form accurately and legibly. Make sure to provide complete and correct information to avoid any issues or discrepancies.

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Step 4: Review the filled-out form for any errors or missing information. Double-check all the entries to ensure accuracy.

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Step 5: Sign the agreement form along with any other required signatures, such as witnesses or legal representatives.

06

Step 6: Submit the filled-out and signed agreement form to the appropriate healthcare authorities or insurance providers as instructed.

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Step 7: Keep a copy of the agreement for your records and reference purposes.

Who needs health system combination agreement?

01

Healthcare providers or organizations that are looking to merge or collaborate with other entities in the healthcare industry.

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Insurance companies or health plans that are forming partnerships or agreements with healthcare providers.

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Individuals who are seeking comprehensive healthcare coverage through a combination of different health systems or providers.

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