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2009 comanagement contract - Siepser Laser Eyecare-2026
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- Click ‘Get Form’ to open the 2009 comanagement contract in the editor.
- Begin by filling in your name in the designated field at the end of the document. This identifies you as the independent contractor.
- Review the 'Terms' section, ensuring you understand that this agreement is effective from January 2009 and remains valid until terminated with a written notice.
- 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.
- Complete any additional fields related to patient referrals and ensure compliance with legal stipulations regarding remuneration for referrals.
- Finally, sign and date the agreement at the bottom, confirming your acceptance of all terms outlined in this contract.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2009 | 4.8 Satisfied (125 Votes) |
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