2009 comanagement contract - Siepser Laser Eyecare-2026

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  1. Click ‘Get Form’ to open the 2009 comanagement contract in the editor.
  2. Begin by filling in your name in the designated field at the end of the document. This identifies you as the independent contractor.
  3. Review the 'Terms' section, ensuring you understand that this agreement is effective from January 2009 and remains valid until terminated with a written notice.
  4. In the 'Compensation' section, carefully note the payment structure for postoperative services. Fill in any required details regarding billing using HCFA 1500 forms as specified.
  5. Complete any additional fields related to patient referrals and ensure compliance with legal stipulations regarding remuneration for referrals.
  6. Finally, sign and date the agreement at the bottom, confirming your acceptance of all terms outlined in this contract.

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