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WHEN PARTICIPATION AGREEMENT West Virginia Health Information Network Health Information Exchange Participation Agreement This Participation Agreement (this “Agreement “) is made and entered into
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Step 1: Read the WVHIN Participation Agreement carefully to understand its terms and conditions.
02
Step 2: Fill out your personal information, including your name, address, phone number, and email address.
03
Step 3: Provide your organization's details, such as the name, address, and contact information.
04
Step 4: Review the agreement's sections and clauses thoroughly to ensure compliance.
05
Step 5: Sign and date the agreement.
06
Step 6: Submit the filled-out participation agreement to the WVHIN according to their specified instructions.

Who needs wvhin participation agreement for?

01
Anyone who wishes to participate in the WVHIN network needs to fill out the WVHIN Participation Agreement. This includes healthcare organizations, hospitals, clinics, laboratories, pharmacies, physicians, and other healthcare providers who want to exchange health information electronically through the WVHIN platform.
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The WVHIN participation agreement is for healthcare providers to agree to participate in the West Virginia Health Information Network (WVHIN) and share patient health information electronically.
Healthcare providers in West Virginia are required to file the WVHIN participation agreement.
To fill out the WVHIN participation agreement, healthcare providers need to provide their information, agree to the terms of participation, and sign the agreement.
The purpose of the WVHIN participation agreement is to facilitate the secure exchange of patient health information among healthcare providers in West Virginia.
The WVHIN participation agreement must include the healthcare provider's name, contact information, and agreement to share patient health information electronically.
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