Epiccare Link Access Agreement Sample Contracts
MAIN LINE HEALTH EPICCARE LINK ACCESS AGREEMENTEpiccare Link Access Agreement • January 9th, 2023 • Pennsylvania
This M A I N L I N E H E A L T H E P I C C A R E L I N K ACCESS AGREEMENT (“Agreement”) is entered into between MAIN LINE HOSPITALS, INC., by and on behalf of itself and its affiliated entities within the Main Line Health system (“MLH”) and the entity defined on the signature page hereto (“Entity”).
AGREEMENT WITH PROVIDER OR INSURER FOR EPICCARE LINK ACCESS AGREEMENTEpiccare Link Access Agreement • September 3rd, 2024 • Kentucky
Name of the Baptist contact for whom you are providing services: Department of the Baptist Contact: Additional Information
AGREEMENT WITH PROVIDER OR INSURER FOR EPICCARE LINK ACCESS AGREEMENTEpiccare Link Access Agreement • October 9th, 2024 • Kentucky
Caregiver with direct responsibility for providing care to Baptist Health patients (e.g., physician office, clinic, nursing facility, other non-Baptist Health hospital)
EpicCare Link New Site ChecklistEpiccare Link Access Agreement • December 16th, 2022 • Connecticut
Please use this checklist when requesting access for a new site. This will help ensure that all documentation have been completed accurately. This entire document should be submitted at the same time.
EPICCARE LINK ACCESS AGREEMENTEpiccare Link Access Agreement • March 16th, 2018
This EpicCare Link Access Agreement ("Agreement"), effective as of , 20 (the "Effective Date"), is entered into by and between the Board of Trustees of Hendricks County Hospital doing business as Hendricks Regional Health an Indiana county hospital ("HRH") and the undersigned ("Outside Entity") a licensed health care provider. HRH and Outside Entity are sometimes referred to in this Agreement individually as a "Party" and collectively, as the "Parties."
EPICCARE LINK ACCESS AGREEMENTEpiccare Link Access Agreement • March 13th, 2025 • Wisconsin
This EpicCare Link Access Agreement (this “Agreement”), effective as of (the “Effective Date”), is entered into between Oakleaf CIN, LLC (“CIN”) and (“Outside Entity”), a licensed health care provider and/or a Business Associate of CIN bound by the terms of a separate Business Associate Agreement. CIN and Outside Entity are sometimes referred to in this Agreement individually as a “Party” and, collectively, as the “Parties”.
EPICCARE LINK ACCESS AGREEMENTEpiccare Link Access Agreement • December 16th, 2022 • Connecticut
(the “Effective Date”), is entered into between Yale-New Haven Health Services Corporation, a tax-exempt Connecticut nonstock corporation on behalf of itself and all of its affiliates (“YNHHS”) and