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STATE OF MARYLAND PROVIDER AGREEMENT FOR DELIVERY OF SERVICES REGULATED BY THE DEVELOPMENTAL DISABILITIES ADMINISTRATION WHEREAS, Maryland funds services for individuals with developmental disabilities
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How to fill out provideragreement062107doc - dda dhmh:

01
Start by downloading the provideragreement062107doc - dda dhmh form from the designated website or portal.
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Read the instructions carefully to understand the requirements and purpose of the form.
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Begin by filling out the personal information section, including your full name, address, contact details, and any other relevant identification information.
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Provide any necessary business information if applicable, such as the name, address, and contact details of your organization or agency.
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Indicate the type of services you will be providing or offering in the agreement.
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Review the terms and conditions thoroughly, ensuring you understand and agree to all the requirements and responsibilities outlined.
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If there are any specific sections or clauses that need clarification, seek assistance from the designated authority or legal counsel.
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Once you have completed filling out the form, double-check all the information provided for accuracy and completeness.
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Sign and date the agreement as required, indicating your commitment to adhere to the terms and obligations outlined.
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Make a copy of the filled-out form for your records before submitting it to the appropriate authority.

Who needs provideragreement062107doc - dda dhmh:

01
Individuals or organizations that wish to provide services or participate in programs governed by the dda dhmh.
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Service providers, agencies, or organizations seeking authorization or approval to offer specific services or support within the dda dhmh framework.
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Those intending to enter into a formal agreement or contract with the dda dhmh for the provision of services or assistance to individuals with developmental disabilities or mental health needs.
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