HomeMy WebLinkAboutC84-008 Sally Hawkinsr
AGREEMENT
This agreement is entered this 1st day of February,
between the Board of County Commissioners of the County of
Eagle, State of Colorado, on behalf of Eagle County Nursing
Service, hereinafter called the "Agency," and Sally Hawkins,
Speech Therapist, hereinafter called the "Therapist."
1. Application. The parties acknowledge that the
policies of the Agency provide for a community speech therapy
program. This agreement between the Therapist and the Agency
is entered to apply only to those services of the Therapist
to patients covered by Medicare, Medicaid, other third party
insurance carriers, or others approved by the Agency.
2. Services. The Therapist agrees to provide
professional services, as a speech therapist, meeting the
education and experience requirements for a certificate of
clinical competence in the American Speech and Hearing
Association. These services are to be provided within the
geographical limits of Eagle County. The services provided
by the Therapist shall be within the scope and limitations
set forth in the attending physician's plan of treatment for
the patient which has been established with the Agency, and
may not be altered in type, scope, or duration by the
Therapist.
3. Qualifications. The Therapist must meet the
conditions of participation as follows: Meeting the
education and experience requirements for a certificate of
clinical competence in the American Speech and Hearing
Association.
4. Duties. The duties of the Therapist will be
provided by a qualified speech pathologist. The Therapist
must regularly participate with other health personnel of the
Agency in staff meetings, policy formation, planning when and
how a plan of treatment is to be carried out, scheduling of
visits, discussions for the purposes of planning and
evaluating patient care in individual cases, and the like.
5. Procedure After Acceptance. As stated, the
physician's plan of treatment must be established with the
Agency. In the event the physician's plan of treatment is
given to the Therapist, the plan must be put into writing
before the treatment is begun. The plan must relate the
type, amount, frequency and duration of speech therapy
services that are to be furnished to the patient and must
indicate the diagnosis and anticipated goals.
This written
plan must be forwarded to the Agency by the Therapist within
five (5) days after it is initiated to be incorporated into
the Agency's permanent record for the patient. The plan must
be reviewed by the attending physician in consultation with
the Therapist as necessary, but at least every sixty (60)
days.
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The Therapist shall prepare meaningful progress notes and
observations for each visit made to the patient. All
progress notes are to be written the day service is given and
incorporated within the week, mailed to the Agency by the
fifth day after each visit.
6. Supervision. The Therapist shall be supervised by
and take direction from a certified speech therapist
designated by the Administrator of the Eagle County Nursing
Service.
7. Fee. The gross service fee shall be $25 per hour of
the Therapist's time. All billing for Agency patients will
be carried out by the Agency. Therapist cannot bill the
patient or the Federal Health Insurance Program. Payment for
services rendered will be mailed to the Therapist on the
first of the month following receipt by the Agency of all
reports and forms as required in this contract. Payment will
be withheld if reports and/or forms are not received as
required.
8. Duration. This agreement shall be in effect for one
(1) year from its date; provided, however, it may be
terminated at any time by either party by giving thirty (30)
days' written notice of such intention to the other party.
9. Independent Contractor. The Therapist shall be an
independent contractor for all purposes under this agreement,
and shall not be considered an employee of the Agency for any
purpose whatsoever.
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IN WITNESS WHEREOF, the parties have executed this
agreement on the date first above written.
TTEST:_(��F�Ly
BOARD OF COUNTY COMMISSIONERS
EAGLE COUNTY, COLORADO
David E. Mott, C airman
SPEECH THERAPIST
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/Sally aw ins
Datk
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