Negotiated risk agreement template 2025

1. Click ‘Get Form’ to open the negotiated risk agreement template in the editor.
2. Begin by entering the client’s last name, first name, and middle initial in the designated fields. This ensures that all parties are clearly identified.
3. Input the MSSP number to link the agreement to the specific program. This is crucial for record-keeping and future reference.
4. In the section labeled 'Client’s desire/preference', articulate what the client wishes regarding their care. This helps in understanding their perspective.
5. Detail the 'Current situation/cause(s) of concern' to provide context for why this agreement is necessary. Be thorough yet concise.
6. List any 'Possible/probable negative consequences' that may arise if risks are not managed effectively. This section is vital for informed decision-making.
7. Explore 'Possible alternatives to minimize risk' and document them. This encourages proactive planning and collaboration among parties involved.
8. Finalize by noting any agreements reached by all parties in the 'Final agreement' section, ensuring clarity on commitments made.
9. Specify how often reassessment of risk will occur in the designated field, promoting ongoing evaluation and adjustment as needed.
10. Have both the client and care manager sign and date at the bottom of the form to validate the agreement officially.

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