Blackmaple Group, LLC 2026

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The document outlines a Participant Agreement between Blackmaple Group, LLC (BMG) and healthcare providers, designating BMG as a non-exclusive purchasing agent for group purchasing opportunities. It details the compliance with Medicare anti-kickback statutes, limitations of liability, confidentiality obligations, and terms for termination. Additionally, it includes a Letter of Participation with Intalere, allowing members to access group purchasing programs while ensuring compliance with applicable laws and regulations.

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Click ‘Get Form’ to open the Blackmaple Group, LLC form in the editor.
Begin by filling in your Program Participant Name and City in the designated fields. Ensure that all information is accurate for proper identification.
Next, provide your Contact Name/Title and Email Address. This information is crucial for communication regarding your participation.
Sign and date the form at the bottom. Your signature confirms your agreement to the terms outlined in the document.
If applicable, complete any additional sections such as Federal Tax I.D. # and ensure all required fields are filled out before submission.

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