Medical Director Agreement Sample Contracts

This Agreement is made and entered into as of the 1st day of January, 2006, by and between the City of Rapid City, hereinafter referred to as “City,” and Dr. Kelly Manning, hereinafter referred to as “Physician.”

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Medical Director Agreement • November 14th, 2000 • Dialysis Corp of America • Services-hospitals • Georgia

Contract Type November 14th, 2000 Jurisdiction Medical Director Agreement • December 23rd, 2020 Contract Type December 23rd, 2020 Medical Director Agreement • March 4th, 2009 Contract Type March 4th, 2009

This Agreement is made and entered into as of the 1st day of January, 2009, by and between the City of Rapid City, hereinafter referred to as “City,” and Dr. Kelly Manning, hereinafter referred to as “Physician.”

Medical Director Agreement • June 1st, 2020 Contract Type June 1st, 2020

WHEREAS, Facility is required by federal laws and regulations to retain a physician licensed under State law to practice medicine, to serve as Medical Director and to assume certain responsibilities, as described below; and

Medical Director Agreement • January 5th, 2024 Contract Type January 5th, 2024

THIS MEDICAL DIRECTOR AGREEMENT (“AGREEMENT”) is made effective this 1st day January 2022, by and between the County of McHenry and Gilbert Egekeze, MD, a physician licensed to practice medicine in the State of Illinois, whose offices are located at 12151 Regency Parkway, Suite 12173, Huntley, IL 60142, (“PROVIDER”). In consideration of the mutual promises set forth below in the body of this Agreement, the parties agree as follows:

Medical Director Agreement • January 10th, 2017 Contract Type January 10th, 2017 Medical Director Agreement • September 17th, 2020 Contract Type September 17th, 2020

THIS MEDICAL DIRECTOR AGREEMENT (“Agreement”), effective as of the first day of July, 2010, between MANAGED ACCESS TO CHILD HEALTH, INC. d/b/a PARTNERSHIP FOR CHILD HEALTH (“MATCH”) and the UNIVERSITY OF FLORIDA BOARD OF TRUSTEES FOR THE BENEFIT OF THE DEPARTMENT OF PEDIATRICS, COLLEGE OF MEDICINE-JACKSONVILLE, UNIVERSITY OF FLORIDA (“UNIVERSITY”).

Medical Director Agreement • January 5th, 2023 Contract Type January 5th, 2023

THIS MEDICAL DIRECTOR AGREEMENT (“AGREEMENT”) is made effective this 1st day January 2022, by and between the County of McHenry and Gilbert Egekeze, MD, a physician licensed to practice medicine in the State of Illinois, whose offices are located at 12151 Regency Parkway, Suite 12173, Huntley, IL 60142, (“PROVIDER”). In consideration of the mutual promises set forth below in the body of this Agreement, the parties agree as follows:

Medical Director Agreement • December 28th, 2020 Contract Type December 28th, 2020

The undersigned Physician, currently licensed to practice medicine or osteopathy by the Virginia Board of Medicine, hereby agrees to serve as Primary Operational Medical Director (OMD) for the undersigned Virginia- licensed EMS Agency during a period beginning ,

Medical Director Agreement • July 23rd, 2020 • Wisconsin Contract Type July 23rd, 2020 Jurisdiction

THIS MEDICAL DIRECTOR AGREEMENT (“Agreement”) is effective as of September 1, 2020 (the “Effective Date”), by and between MADISON EMERGENCY PHYSICIANS, S.C. (“Provider”) and Deer Grove Emergency Medical Services (“Recipient”).

Medical Director Agreement • August 29th, 2014 • Fuse Medical, Inc. • Wholesale-medical, dental & hospital equipment & supplies • Texas

Contract Type August 29th, 2014 Jurisdiction

This Medical Director Agreement (“Agreement”) entered into and made effective as of this 1st day of May, 2014 (the “Effective Date”), between Fuse Medical, LLC, with offices at 4770 Bryant Irvin Court, Suite 300, Fort Worth, Texas 76107 (“Company”) and Dr. Stephen Corey (hereinafter referred to as “Medical Director”) with an address of 402 Nelson Blvd Suite 300, Kingstree, SC 29556 (each, a “Party” and collectively the “Parties”).

Medical Director Agreement • November 28th, 2018 Contract Type November 28th, 2018

⮚ Obtain approval from the SD ALS Ambulance Service(s) and/or SD Hospital Emergency Departments who will be providing clinical training to EMT Students in this program (SD ALS Ambulance Letter of Support and/or SD Hospital ED Letter of Support).

Medical Director Agreement • July 18th, 2016 Contract Type July 18th, 2016

Each long term care home in Ontario is required to engage a physician as Medical Director for the Home in order to meet Ministry of Health and Long Term Care requirements ensuring that appropriate medical services are provided to all residents of that Home.

Medical Director Agreement • May 2nd, 2011 • Whiteglove House Call Health Inc • Texas Contract Type May 2nd, 2011 Jurisdiction

THIS MEDICAL DIRECTOR AGREEMENT (this “Agreement”) is entered into this 28th day of January, 2011 (the “Effective Date”), by and between WhiteGlove House Call Health, Inc., a Texas corporation (“Company”), and Kurt Berneburg, D.O. (“Physician”)

Medical Director Agreement • May 8th, 2014 • Missouri Contract Type May 8th, 2014 Jurisdiction

effective May 22, 2014 (“Effective Date”) by and between City of Brentwood Fire Department of St. Louis County ("EMS"), SSM Health Care St. Louis, a Missouri nonprofit corporation owning and operating SSM St. Mary’s Health Center (“HOSPITAL”) and Clayton Emergency Group, LLC, a Missouri limited liability company (“GROUP”).

Medical Director Agreement • July 13th, 2000 Contract Type July 13th, 2000

This Agreement is made and entered into as of the day of August, 2000, by and between the City of Rapid City, hereinafter referred to as “City,” County of Pennington, hereinafter referred to as “County” and Dr. John Rud, hereinafter referred to as “Physician.”

Medical Director Agreement • June 1st, 2015 • Missouri Contract Type June 1st, 2015 Jurisdiction

AGREEMENT (“Amendment”) is effective as of May 22, 2015 (“Effective Date”) by and between City of Brentwood Fire Department of St. Louis County (“EMS”), SSM Health Care St. Louis, a Missouri nonprofit corporation owning and operating SSM St. Mary’s Health Center (“HOSPITAL”), and Clayton Emergency Group, LLC, a Missouri limited liability company (“GROUP”) (collectively, “the Parties”).

Medical Director Agreement • March 14th, 2017 • Nobilis Health Corp. • Services-general medical & surgical hospitals, nec

Contract Type March 14th, 2017

This First Amendment and Assignment to Physician Employment & Medical Director Agreement (this “Amendment”) is entered into as of the 8th of March, 2017 (the “Effective Date”), by and between Nobilis Health Network, Inc., a Texas certified nonprofit health organization (“Assignor”), NH Physicians Group, PLLC, a Texas professional limited liability company (“NHPG”), and Carlos R. Hamilton, III, M.D., a Texas licensed physician (“Physician”) (each individually, a “Party” and collectively, the “Parties”).

Medical Director Agreement • February 26th, 2009 • Genoptix Inc • Services-medical laboratories • California

Contract Type February 26th, 2009 Jurisdiction

This Amended and Restated Medical Director Agreement (“Agreement”) is effective as of 1st day of January, 2009, by and among Genoptix, Inc. (“Genoptix” or the “Laboratory”) and Pacific Medical Consultants, Inc., a California professional corporation (“Corporation”) and Bashar Dabbas, M.D. (“Physician”).

Medical Director Agreement • January 18th, 2005 Contract Type January 18th, 2005

This Agreement is made and entered into as of the 1st day of January, 2005, by and between the City of Rapid City, hereinafter referred to as “City,” and Dr. Kelly Manning, hereinafter referred to as “Physician.”

Medical Director Agreement • October 22nd, 2015 Contract Type October 22nd, 2015

I, the undersigned physician, represent that I satisfy the criteria listed below and will continue to meet the requirements as listed in order to serve and perform the duties of the EMS Agency Medical Director. I also understand that the sections of this agreement that are underlined do not apply to a QRS or BLS ambulance service unless they have EMS providers at or above the Advanced EMT level.

Medical Director Agreement • December 5th, 2002 • South Dakota Contract Type December 5th, 2002 Jurisdiction

This Agreement is made and entered into as of the day of December, 2002, by and between the City of Rapid City, hereinafter referred to as “City,” County of Pennington, hereinafter referred to as “County” and Dr. Kelly Manning, hereinafter referred to as “Physician.”

Medical Director Agreement • May 2nd, 2011 • Whiteglove House Call Health Inc • Texas Contract Type May 2nd, 2011 Jurisdiction

THIS MEDICAL DIRECTOR AGREEMENT (this “Agreement”) is entered into this 18th day of June, 2007 (the “Effective Date”), by and between WhiteGlove House Call Health, Inc., a Texas corporation (“Company”), and William Rice, M.D. (“Physician”)

Medical Director Agreement • February 28th, 2000 Contract Type February 28th, 2000

I, the undersigned physician, acknowledge that I have received and reviewed copies of the: (a) Commercial Ambulance Services regulations (COMAR 30.09); (b) Emergency Medical Services Operational Programs regulations (COMAR 30.03) and; (c) “Maryland Medical Protocols for Emergency Medical Providers”, which is a document incorporated by reference in Title 30. I further attest that I meet the qualifications of an EMS Operational Program Medical Director as stated in COMAR 30.03.03.03B and agree to serve as Medical Director for

Medical Director Agreement • January 16th, 2024 Contract Type January 16th, 2024

Whereas the Corporation of the County of Essex (the "County") operates a long-term care facility known as the Sun Parlor Home for Senior Citizens ("Sun Parlor") located at municipal address 175 Talbot Street East, Leamington, Ontario (the "Home");

Medical Director Agreement • December 5th, 2002 • South Dakota Contract Type December 5th, 2002 Jurisdiction

This Agreement is made and entered into as of the day of December, 2002, by and between the City of Rapid City, hereinafter referred to as “City,” and Dr. Kelly Manning, hereinafter referred to as “Physician.”

Medical Director Agreement • May 5th, 2020 • Georgia Contract Type May 5th, 2020 Jurisdiction

EX-10.2 3 0003.txt SO. GA. MEDICAL DIRECTOR AGREEMENT MEDICAL DIRECTOR AGREEMENT -------------------------- THIS MEDICAL DIRECTOR AGREEMENT ("Agreement") made as of July 21, 2000 Between South Georgia Nephrology, P.C., a Georgia professional corporation with offices in Valdosta Georgia, hereinafter referred to as the "P.C." And DCA of South Georgia, LLC A limited liability company with offices at c/o Dialysis Corporation of America 27 Miller Street Lemoyne, PA 17043 hereinafter referred to as the "Company." The P.C. and the Company may hereafter be referred to individually as a "Party" and collectively as the "Parties." WITNESSETH: WHEREAS, the Company intends to develop, own and operate a renal dialysis facility to be located within the vicinity of Valdosta, State of Georgia, with such specific location as the Parties may select ("Facility"); WHEREAS, the P.C. is a limited liability company owned by Andrew Queler, M.D. WHEREAS,

Medical Director Agreement • September 10th, 2007 • Genoptix Inc • Services-medical laboratories • California