clinical affiliation agreement template

The endorsement caps a process of outreach spanning several years to reduce the need to negotiate and re-negotiate agreements for short-term, supervised training experiences that represent relatively low risk to all involved. (iii) Violate any order, writ, injunction, decree, statute, rule or regulation applicable to CGI. 2.5 Members of the Company. Any reference to a specific provision of the Code shall be deemed to include any future corresponding provision of the Code. Their platform put me in touch with the right lawyers for my industry and the team was as responsive as humanly possible during the whole process. in a form mutually agreed upon by CGI and Mayo. McLeod Regional Medical Center Ryan focuses on the holistic approach to the practice of elder law which seeks to ensure clients are receiving good care when needed and that they preserve enough assets with which to pay for such care. C. CGI and Mayo desire to form an of this Agreement, the Parties shall cause a Certificate of Formation to be filed with the Delaware Secretary of State in order to form the Company. Cooper Medical School of Rowan University reasonable efforts, acting in good faith, to agree upon a text for such disclosure which is satisfactory to both Parties. (c) If the Parties are unable to resolve the dispute through mediation, either Party is free to pursue its legal and 1.11 Members means all Members as described in the Limited Liability Company Agreement, which as of the Effective Date of Do you need help with an clinical affiliation agreement? Password: legal (all lowercase), Crosswalk between the AAMC UCTA Agreement and LCME Accreditation Standards (Academic Years 20192020 & 20202021) (PDF). At each meeting, SRC shall discuss and evaluate the Goals Membership Interests shall be determined pursuant to an appraisal process determined by the Board of Governors. unenforceable to any extent, the remainder of this Agreement and the application of all other provisions and of the same provision to other persons or circumstances shall not be affected thereby and shall be enforced to the greatest extent permitted Fort Wayne Medical Education Program, Geisel School of Medicine at Dartmouth CGI makes the following representations and warranties to Mayo: (a) Organization. In Facilities with Negotiated Agreements Pending. As an 3.9 Exclusivity. See our affiliation agreements in Biomedical Technology, Clinical Laboratory Sciences, Microbiology, Pharmaceutical Sciences, Public Health. How to modify the template. If a Member determines not to make any capital contribution within the time specified, the Board shall give prompt notice of such decision to the other Date; (iii) The Joint Development Intellectual Property Agreement, executed by Mayo; (iv) The Mayo Contribution, as well as all associated agreements pursuant to which Mayo will provide the Mayo Contribution 1.13 Membership Interest means the interest in the Company consisting of each Members financial rights and/or governance rights. View Clinical Affiliation Agreement Template.doc from HEALTH, FI 470 at Wittenberg University. Below is a list of common sections included in Clinical Affiliation Agreements. activities and programs of the Company and to be generally responsible for day-to-day program and project management. If the educational institution does not currently have an active agreement in place with UNC-Hospitals, the APP Center will provide the educational institution with the UNC-Hospitals clinical affiliation agreement template for signature. the right to request that the Board of Governors issue Membership Interests to a qualified additional investor. Upon the expiration of the term of the Initial Governors, the Board of Governors shall consist of six (6)members, as set forth in the Limited Liability Company Agreement. CGI and Mayo will have The medical staff at the hospital may require such contracts with physicians, who are then granted privileges to admit patients to the facility. Each Party shall use all reasonable efforts to take, or cause to be taken, all actions necessary or desirable to consummate and make effective the transactions this Agreement Many families and individuals also come to Ryan for preparation of their wills, power of attorney, and healthcare guidance documents. other than the Parties and the Company, any rights, remedies, obligations or liabilities of any nature whatsoever. 7.6 Governing Law. The Ohio State University College of Medicine The University shall provide for professional and general liability coverage insuring the School and its faculty, students and employees performing activities under this Agreement. Michigan State University College of Human Medicine University of Toledo College of Medicine Furthermore, each such amendment shall be acceptable to the other Party: (d) Each Party shall have performed and complied with all of the agreements. Conflicts, Attitudes and Resolutions Objectives for Ancillary Rotations Cath Lab Daily Evaluation If you have problems downloading the files try Right clicking on the item and choose "Save Target As" or "Save Link As". The first installment shall be delivered on the Closing Date (the CGI First Installment). 7.3 Press Releases and Announcements. A business-oriented, proactive, and problem-solving corporate lawyer with in-house counsel experience, ensuring the legality of commercial transactions and contracts. Termination. . This is an archive of the monthly CFAS Rep Bulletin newsletter for CFAS reps. Review this list of leadership appointments, promotions, and departures in academic medicine. endstream endobj startxref investment of time and expense by such Party, and that any disclosure or other use of such knowledge or information other than for the benefit of the Affiliation would be wrongful and would cause irreparable harm to such Party. affiliation to establish a multi-year cooperative relationship encompassing biomarker discovery and commercialization utilizing the power of next-generation sequencing and genomic data analysis to individualize the practice of medicine in oncology. 1.1 Affiliation means the relationship between CGI and Mayo, as evidenced in this Agreement, to jointly conduct Members of the Company and as such have the rights and responsibilities afforded to Members pursuant to the Certificate of Formation, the Limited Liability Company Agreement and applicable law. University of Rochester School of Medicine and Dentistry No consent, approval or authorization of any other (c) Membership Interests. hb```b; aB=x:D~``Q[h#14p@$C=;#73p3000"f"G 5H University of Colorado Anschutz Medical Campus An affiliate agreement is a document that establishes a relationship between two parties, the corporation, and the affiliate, in which the affiliate is compensated for specific qualified behaviors. ", "I would recommend Contracts Counsel if you require legal work. and Mayo Foundation for Medical Education and Research, a Minnesota Baylor College of Medicine Schedule 3.2(c). You can choose to use the sample agreement below. The 2017 VA-US contract template as found in the footer, should not be used. (b) Mayo shall execute and deliver to CGI or Sample Affiliation Agreement School of Nursing. Carle Illinois College of Medicine structure of the Company related to powers of the Members, the Board of Governors and the duties, if any, delegated to any committees, including the Scientific Review Committee. hereinafter referred to as "Affiliate". conditions or provisions of any agreement, commitment, contract, note, loan, credit agreement, lease or other instrument or obligation to which CGI is a party or by which CGI or any of its assets may be bound: or. This Agreement may be renewed with written approval of all parties for a total term of up to five years. NOW. capital following the Closing Date, the Members may be requested, but not required, to provide additional capital contributions in exchange for additional Membership Interests in accordance with the Limited Liability Company Agreement. The fair market value of such additional contributions and the correlating additional . Parties acknowledge that, as of the Closing Date, the Parties and the Company will execute a license agreement regarding the Companys use and disclosure of intellectual property during the Affiliation in the form attached hereto as Exhibit The George Washington University School of Medicine and Health Sciences, Icahn School of Medicine at Mount Sinai F. Liability Insurance: 1. University of Wisconsin - Madison, School of Medicine and Public Health, Vanderbilt University School of Medicine operations, as further described on Schedule 3.2(b). Texas Tech University Health Sciences Center (d) All dispute resolution procedures described in this Section7 shall take place in 3.3 Additional Capital Contributions. This Agreement has been duly and validly executed and delivered by Mayo and constitutes the legal, valid and binding obligation of Mayo, enforceable in The mediation shall occur within 30 days of the mediator receiving the dispute. McLaren Macomb Hospital Clinical Affiliation Agreement means a clinical affiliation agreement between Purchaser and Seller to be dated as of the Closing Date, in the form attached hereto as Exhibit C. Sample 1. THIS AFFILIATION AGREEMENT ("Agreement") is made and entered into as of Month, Date, 20xx ("Effective Date"), by and between Name of University, College of XXX (School) and Northern Kentucky Independent District Health Department ("Practice Site"). reasonably may be required in order to effectively accomplish the Goals and Objectives. UConn staff should use the Interactive Decision Tree to determine if a clinical affiliation agreement must be submitted to OGC for legal review. University of Kentucky College of Medicine Wright State University Boonshoft School of Medicine. Effective Date. equal representation on the Board of Governors. 211 Friday Center Drive Shands Medical Group of Starke use the following template: Program Letter of Agreement Template for UF at UF Health Shands as of 1-7-2019 Other Master Affiliation Agreement Sites If you have UF resident/fellow rotations at the sites listed below: North Florida/South Georgia Veterans Health System, Sacred Heart Health System, Inc., and, certificate or memorandum furnished or to be furnished by CGI or on its behalf, contains or will contain any untrue statement of material fact. Heres what teaching hospitals are doing to protect people and the environment. The College agrees to: a. Post a projectin ContractsCounsel's marketplace to get free bids from lawyers to draft, review, or negotiate clinical affiliation agreements. Mayo Clinic School of Medicine B.This agreement may be canceled by either party, with or without cause, upon 90 days or more written notice; however, such termination . 7.14 Costs. or becomes acquainted with as a result of the Affiliation created through this Agreement. The parties acknowledge that CGI has agreed to issue the CGI Stock to Mayo, Department of Veterans Affairs (U.S.)-The system legal counsel is in negotiation to update a new agreement. purpose of such documents is aligned with the Goals and Objectives. If the Company fails to meet the first set of Milestones for year 1-year 2 (as agreed upon by the parties pursuant to Section3.2(a)), then, unless such forfeiture restriction is waived in writing by CGI in whole or in part. University of Missouri-Kansas City School of Medicine what do I need to do transfer the property on mine and my husband 's name I have two of my kids on it? Indiana University School of Medicine Students who will be completing a rotation at UNC-Hospitals must meet all the requirements detailed in the agreement. The representations and warranties of Mayo contained in this Section4.2 or elsewhere in this Affiliation Agreement. Medical College of Wisconsin Mayo will not be required to contribute cash but will have the option to do so in lieu of some or all 3.4 Additional Investors. University of Minnesota Medical School Please ask the VA for its most recent version of the contract and then contact OGC or AGO for assistance. [The remainder of this page is Notice: The purpose of this site is to provide general information only and nothing on this site should be construed as legal advice. this Agreement and any other documents related to the proposed Affiliation, including but not limited to the fees and disbursements of its own attorneys, accountants or other consultants. I am an attorney with six years of experience drafting and negotiating a wide variety of business contracts, in industries including technology and software, finance, professional services, hospitality, and non-profits. Clinical Affiliation Agreement Template Before a confirmed clinical rotation can begin, there must be an active Clinical Affiliation Agreement on file with the APP Center between UNC-Hospitals and the educational institution. (b) CGI Option. Based in Dallas, appointments available in DFW area. If it has, advise the requestor. (vii) All other documents, instruments and agreements as CGI (or its University of Chicago Pritzker School of Medicine CUNY maintains an insurance policy that provides coverage for certain students in clinical coursework for Health and Human Services programs. University of Texas Rio Grande Valley School of Medicine Virginia Tech Carilion School of Medicine, Wake Forest School of Medicine inducement to Mayo to enter into this Agreement and to consummate the transactions contemplated by the Agreement. COVID-19 resulted in millions of tons of health care-related waste. Please review our Privacy Statement and Terms of Use for additional information. The more institutions using the Uniform Agreement, the more time everyone saves. Before a confirmed clinical rotation can begin, there must be an active Clinical Affiliation Agreement on file with the APP Center between UNC-Hospitals and the educational institution. 7.2 Confidentiality. MASTER AFFILIATION AGREEMENT . By directly comparing the two documents, you can help to ensure that your college or university has received the most up to date MOA as approved for use by Minnesota State legal counsel. Should asset purchase agreement be notarized? No consent to or waiver (whether expressed or implied) by either Party to any breach or default Any . Company shall not use the names or trademarks of the parties or any of a Tufts University School of Medicine Office Hours: Monday to Friday 8:00 AM - 5:00 PM Address: Physical Plant Building, 6300 Ocean Drive, Unit 5870, Corpus Christi, TX 78412-5870 Facilities Services Services provided are classified into two categories: Facilities Funded Services Billable Services Facilities Funded Services Billable Services SIGN UP FOR MAINTENANCE CONNECTION and correct as of the Closing Dale. None of the representations and warranties made in this Agreement by CGI, or made in any Clinical Affiliation Agreement Rev 12.20 for each student experience as well as in the joint planning and evaluation of these experiences. Affiliation Agreement Page 2 of 12 WHEREAS, it is, therefore, prudent and beneficial for the University and this Affiliate to document clearly their relationship and their respective responsibilities and authority. A clinical affiliation agreement can also be called a "medical staff membership" or "hospital privileges." Specialization in tech, product, IP, data and commercial but well versed in all transactional and operational advisory matters. 2. (b) Authority. by the SRC as provided in Section2.4 above and to the extent approved by the Board of Governors. B. A vital part of the third and fourth year of medical school is the opportunity to learn in a clinical setting. laws of the Stale of Delaware and has all necessary corporate power to own its property and carry on its business as presently owned and operated. Affiliation Agreements can take weeks to months to process. of Governors. University of South Carolina School of Medicine Greenville (the Effective Date) by and between Cancer Genetics. 9. University of California, Davis School of Medicine The AAMC Uniform Clinical Training Affiliation Agreement is designed to: The AAMC developed the Uniform Agreement after a year-long outreach process that included: The AAMC Uniform Clinical Training Affiliation Agreement is incorporated by reference and implemented through a one-page Implementation Letter signed by the medical school and the host clinical institution. 7.1 Resolution of Disputes. Complete our 4-step process to provide info on what you need done. This Agreement shall be binding upon and inure to the benefit of the Parties hereto and their respective representatives, successors and permitted assigns. Contact: University Contracts, UABContracts@uab.edu Agreement for Clinical Affiliation Addendum (pdf) University of Louisville School of Medicine 7.11 Waiver. The Parties agree that any information or knowledge relating to any non-public aspect of the business of the other Party or of the Parties affiliated Our agreements typically include the areas of nursing, therapy, pharmacy, dietetics and health information, but can be customized for your institution. TAA Template - Civilian Trainees at DGMC. As a condition precedent to receiving the CGI Stock. I'll be back for more contract work in the future, as the lawyers they've vetted for these services are top tier.". CGI For questions and new requests for training affiliation agreements, contact the Training Affiliation Agreements Coordinator. Get your Doctor of Pharmacy in just six years; Doctor of Pharmacy affiliation agreement. The issuance of all Membership Interests shall be subject to the requirements of the Limited Liability Company Agreement. The Parties acknowledge that the above described knowledge or information constitutes a unique and valuable asset of a Party and represents a substantial Disclaimer: ContractsCounsel is not a law firm and does not provide any kind of legal opinions, advice, or recommendations. As of the effective date of this Agreement, CGI and Mayo are the only A. Reference: Stony Brook University School of Medicine The Parties shall cause the Initial Governors to adopt the Limited Liability Company Agreement. This Affiliation Agreement for Educational Program ("Agreement") is effective as of _____ ("Effective Date"), by and between The Cleveland Clinic Foundation, an Ohio . Nothing in this Agreement, express or implied, is intended to confer upon any person, activities, including any strategic planning or business development information, any financial information or any provider, payor or patient information shall be treated as confidential, and the Parties further agree that such confidential Clinical Affiliation Agreement negotiations are often much more time-consuming with hospitals so please allow the Program as much time as possible. Midwestern University (Glendale, AZ and Downers Grove, IL) Please remember thatthe MOAs found on this website are to be used forreference and comparison purposes only. intentionally left blank. None of the representations and warranties made in this Agreement by Mayo, or made in any regulatory and other third party approvals or consents shall have been obtained without conditions unacceptable to any Party: (c) The representations and warranties of the Parties set forth in Article IV shall be true and correct and shall be deemed to have been repeated and affirmed as amended as necessary to make the same true Does a single member llc need an operating agreement? as defined in Section5.1. end of third quarter 2011). Most of these placements require a contract or an affiliation agreement between the facility and the University as a condition of accepting our students as . IN WITNESS WHEREOF, CGI and Mayo have caused this Agreement to he executed as of the This is a Master Affiliation Agreement on the part of the _____, hereinafter referred to as "Facility", and the Board of Regents of the University System of Georgia by and . Delivery of the second and third installments will be conditioned on the Company meeting mutually agreed upon operational milestones and project completion goals Each Party will designate a liaison (a Liaison) to develop and coordinate the specific services, Agreements may also be warranted with other clinical facilities that have a significant role in the clinical education program. Securely pay to start working with the lawyer you select. Inc. a Delaware corporation (CGI). Advancing academic medicine through scholarship, Open-access journal of teaching and learning resources. A Step-by-Step Guide to Editing The Standard Clinical Affiliation Agreement. which together shall constitute but one and the same Agreement. of its in-kind contribution as set forth in Section3.2(b). General Counsel (Commercial, Tech & IP Focus), Employment Contract Review: Costs, What To Expect, I brokered a load to a company, they were late , now the office manager wants 4000 $ for a load from a year and 1/2 to be paid, and its a completely differt company.She says the 3 loads wont be delivered til its paid, holding the loads hostage and their is Bulk Mail on the loads, what recourse do I have. University of California, Los Angeles David Geffen School of Medicine by the other Party in the performance of its obligations under this Agreement shall be deemed or construed to be a consent to or waiver of any other breach or default in the performance by such other Party of the same or any other obligations of Agreement. this Agreement are CGI and Mayo. upon closing, (a) the clinical affiliation agreement will be amended and restatedin its entiretyto removethe distributed subsidiariesfrom the entitiesand hospital facilitiesincludedtherein, and novantand the company willenterinto an amended and restated clinical affiliation agreement in substantiallythe formattached hereto as exhibit d(the The purpose of this AGREEMENT is to establish procedures and guidelines for the provision of clinical experiences within the Clinical Facility for Students. 3.7 Liaisons. "[H4dd tU2u`v(X2 $CL@[@@y?_ " In addition to and separate from the Members capital University of Texas Medical Branch, Galveston - Texas You fill out a form. terminated only by the unanimous written agreement of the Members, except as may be otherwise specifically provided in this Agreement. a presentation at the American Health Lawyers Association (AHLA) annual conference on academic medical centers in January 2013; a presentation at the Catholic Health Associations general counsel annual meeting in May 2013; a presentation at the National Association of College and University Attorneys (NACUA) annual conference in June 2013; input from individual AHLA member attorneys; input from individual NACUA member attorneys; input from a University HealthSystem Consortium (UHC) subcommittee; consultation with the U.S. Department of Veterans Affairs, consultation with the Liaison Committee on Medical Education (LCME); and. contributions, each Party may provide mutually agreed upon ongoing services and/or staff pursuant to the terms of mutually agreed upon Services Agreements between each Party and the Company (each, a Services Agreement). Hedrick Building Suite 1001 4.1 Representations of CGI. 7.13 Cooperation. Section3.6. executed by CGI: and. 1.12 Limited Liability Company Agreement means the Limited Liability Company General Affiliation Agreement Requirements (BPSS-31, updated) A signed affiliation agreement must be submitted and approved for each internship site. This Agreement may be executed in counterparts, each of which shall be deemed to be an original, but all of PURPOSE Agreement establishes an affiliation between School and Practice Site in which The relationship between users and ContractsCounsel are not protected as attorney-client privilege or as legal work product. of Mayo; (ii) Result in a default (or give rise to any right of termination. All Clinical Affiliation Agreements executed with Stony Brook University remain in effect for five years. a mediator. accordance with its respective terms. University of California, San Diego School of Medicine The terms and provisions of this Agreement may be amended, restated or This Pending Affiliation Agreements document lists agencies with which CUNY has pending agreements. to Section3.7 for 100.000 shares of CGI stock. Thereafter, the stock shall be fully vested to Mayo. I ended up finding someone who was a great fit for what I needed. consideration of the initial capital contributions described above, the Company will issue each Mayo and CGI Membership Interests reflecting a fifty percent (50%)ownership interest in the Company on the Closing Date. Clinical Agreements-Nursing and Allied Health Programs, Taking the Pulse of Your Clinical Affiliation Agreements, If required, enter your StarID@MinnState.edu username and password to access the following information, Minnesota State Forms and Contract Templates, AEGIS Therapies, Inc. 3-Party (06/16/2016), Allina Health System (Approved by Minnesota Attorney Generals Office on 05/07/2013), Bemidji Area Indian Health Service (05/03/2017), Catholic Health Initiatives with cover letter (04/2015), CentraCare Health No Faculty On-Site Agreement (01/21/2022), Childrens Health Care D/B/A Childrens Hospital and Clinics of Minnesota (06/2020), DaVita Dakota Dialysis Center, LLC D/B/A Fargo ND Dialysis Center (08/25/2014), Department of Veterans Affairs (State of Minnesota 01/2019), Evangelical Lutheran Good Samaritan Society (02/2022), Fairview Health Services with cover letter (02/2022), HealthPartners with cover Letter (08/08/2016), Mayo Clinic Ambulance Service, Inc. (formerly known as Gold Cross Ambulance) (04/2019), Mayo Clinic (Rochester) and Mayo Clinic Health System Sites- Nursing Rotations (Recurring) (2/17/2021), Mayo Clinic (Rochester)- Non-Nursing Rotations (Recurring) (05/2019), Mayo Clinic Health System- Non-Nursing Rotations to Sites Other Than Rochester (Recurring) (2/17/2021), Mayo Clinic (Rochester)- Non-Nursing Rotation for Individual Student (1/22/16), Mayo Clinic Health System Site- Non-Nursing Rotation for Individual Student (1/22/16), Shriners Hospitals for Children (05/25/18), St. Croix Regional Medical Center (05/2019, State of Minnesota Department of Human Services (02/2018), University of Minnesota Physicians (06/12/2015), University of Minnesota Clinics and Surgery Center (05/2017), Attorney General Contact List and Campus Assignments, Delegation of Authority-System Office Form, Minnesota State System Office Records Retention Schedule, affirmative action, equal opportunity employer and educator, Hy-Vee Inc.- Pharmacy Technician and Other Allied Health Programs- Non-Nursing (06/2019) contact OGC for Template. (b) Mayo. academic term. (d) Disclosures. 3.1 Goals and Objectives. 5.3 Delivery of Documents. College of Health Professions - Clinical Affiliation Agreement Template College of Health Professions - Non-Clinical Affiliation Agreement Template For use by all other departments General Non-Clinical Affiliation Agreement Template Contact Us Office of General Counsel 1845 Fairmount Wichita, KS 67260-0205 Email: general.counsel@wichita.edu This Agreement is made this day of , 20 _, by and between (Institution), hereinafter referred to as "Institution" and (Affiliate), hereinafter referred to as "Affiliate". The document is created before your eyes as you respond to the questions. Cedars-Sinai Medical Center Page 2 of 7. notice to be given to either Party shall be in writing and shall be deemed given when delivered personally or when mailed certified or registered mail return receipt requested, to the following addresses: 7.5 Amendment. The second and third installments shall be delivered on the first and There is no standard contract template for these agreements: they vary from one institution to another depending on their policies and procedures.
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