Password Agreement Sample Contracts
BETWEEN:Password Agreement • November 13th, 2024
This information will be retained by the Centre for Health Information and used to administer your password and to contact you regarding the use of your password.
BETWEEN:Password Agreement • November 13th, 2024
The Newfoundland and Labrador Centre for Health Information represented by the Chief Information Officer or designate (hereinafter referred to as the "Centre”)
BETWEEN:Password Agreement • October 25th, 2024
This information will be retained by the Centre for Health Information and used to administer your password and to contact you regarding the use of your password.
NAVARRO COLLEGE PASSWORD AGREEMENTPassword Agreement • August 19th, 2014
Password AgreementPassword Agreement • February 7th, 2020
PLEASE NOTE: The "Password Agreement" must be returned within 30 days from the above date. Failure to return the "Password Agreement" will result in the facility being cited.
Password AgreementPassword Agreement • January 23rd, 2025
I, (Name) hereby certify that effective (date became administrator), I am the Administrator/Director/Chief Executive Officer for (Facility Name) and that I am responsible for submitting a Plan of Correction in response to deficiencies cited by the Pennsylvania Department of Health on CMS Form 2567.
Password AgreementPassword Agreement • January 15th, 2021
I, (Name) hereby certify that effective (date became administrator), I am the Administrator/Director/Chief Executive Officer for (Facility Name) and that I am responsible for submitting a Plan of Correction in response to deficiencies cited by the Pennsylvania Department of Health on CMS Form 2567.
BETWEEN:Password Agreement • November 13th, 2024
This information will be retained by the Centre for Health Information and used to administer your password and to contact you regarding the use of your password.
Password AgreementPassword Agreement • February 3rd, 2025
I, (Name) hereby certify that effective (date became administrator), I am the Administrator/Director/Chief Executive Officer for (Facility Name) and that I am responsible for submitting a Plan of Correction in response to deficiencies cited by the Pennsylvania Department of Health on CMS Form 2567.
Password AgreementPassword Agreement • September 16th, 2017
PLEASE NOTE: The "Password Agreement" must be returned within 30 days from the above date. Failure to return the "Password Agreement" will result in the facility being cited.
Password AgreementPassword Agreement • February 3rd, 2025
I, (Name) hereby certify that effective (date became administrator), I am the Administrator/Director/Chief Executive Officer for (Facility Name) and that I am responsible for submitting a Plan of Correction in response to deficiencies cited by the Pennsylvania Department of Health on CMS Form 2567.
Password AgreementPassword Agreement • January 19th, 2018
PLEASE NOTE: The "Password Agreement" must be returned within 30 days from the above date. Failure to return the "Password Agreement" will result in the facility being cited.