Legal Services Department

General Requests

• Accident / Property Claim Report
• Attorney General Complaint
• Board Service Request
• DEA Request / BNDD Request / Board of Healing Arts (BOHA) Request
• Policy Review / Draft
• Subpoena / Deposition Request / Questionnaire / Interrogatory
• Summons / Petition / Work Comp Claim / Initial Demand Letter

Physician & Advance Practitioner Agreements

• Amendment / Change / Renewal / Extension / Agreement Termination Request
• Collaborative Practice Agreement / Supervision Agreement
• Excess Call Coverage Agreement (Employed Physician)
• Excess Call Coverage Agreement (Independent Contractor or Physician Group)
• Medical Administrative Officer Agreement
• Medical Director Agreement
• Physician Non-Monetary Compensation
• Provider Employment Agreement / Independent Contractor Agreement
• Provider Resignation
• Provider Termination Letter
• Provider Timesheet
• Separation Agreement and General Release (for Providers)

Vendor Contracts

• Affiliation Agreement
• Business Associate Agreement (BAA)
• Clinical Contract Quality Metrics Exhibit
• Confidentiality / Non-Disclosure Agreement (NDA)
• Contract Review / Contract Draft Request (New, Amendment, Termination)
• Facility Use Agreement (Non-SFMC Party Using SFMC Space)
• Hospice Agreement
• RFP Request
• Separation Agreement and General Release (for Employees)

Guardianship

• Guardianship Request
• Guardianship Request Pre-Approval

Insurance

• Certificate of Insurance / Verification of Coverage Request

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