Common use of Standardized Form or Template Clause in Contracts

Standardized Form or Template. The request or referral to the Statewide Clinical Consultant for a secondary review shall be made in writing or electronically using a standardized form or template, containing fields for the basic information necessary to conduct the review. The standardized form or template will be developed in consultation with the Statewide Clinical Consultant and may be amended or modified from time to time.

Appears in 4 contracts

Sources: Joint Settlement Agreement, Joint Settlement Agreement, Joint Settlement Agreement

Standardized Form or Template. The request or referral to the Statewide Clinical Consultant for a secondary mandatory informed consent review shall be made in writing or electronically using a standardized form or template, containing fields for the basic information necessary to conduct the review. The standardized form or template will be developed in consultation with the Statewide Clinical Consultant and may be amended or modified from time to time.

Appears in 4 contracts

Sources: Joint Settlement Agreement, Joint Settlement Agreement, Joint Settlement Agreement