4-Attachment G - Experience Form.docx
DOCX document 19 KB Posted
- Attached to
- Newborn Photography Services
- Solicitation number
- RFO AB01222026
- Issued by
- Harris County, Texas
About this file
This is an Experience Form attachment for a Newborn Photography Services contract opportunity with Harris Health in Texas. The form requires vendors to document their relevant experience through four client references, with all examples drawn from services rendered within the last three years. For each client, vendors must provide the organization name, primary contact information, service dates, address, and a detailed description of services rendered. The form specifically requests information about whether clients are healthcare organizations or hospital systems and requires vendors to explain what similarities exist between their previous clients and Harris Health, establishing the relevance of their experience to the healthcare environment.
The Experience Form is designed to evaluate vendor qualifications for providing professional newborn photography services at Harris Health facilities. This revenue-generating contract requires vendors to maintain HIPAA compliance, ensure patient privacy, adhere to infection control protocols, and deliver high-quality patient experiences while offering optional photo packages to families at no cost to Harris Health or patients. The form's emphasis on healthcare organization experience indicates that Harris Health prioritizes vendors with demonstrated capability in hospital or healthcare system environments, making previous experience with similar healthcare settings a key evaluation criterion for contract award.
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Text version
ATTACHMENT G – EXPERIENCE FORM
Examples provided should be for services rendered within the last three (3) years.
Client #1
Organization Name:
Contact Name/Telephone No.:
E-mail Address:
Address:
Dates services began and ended: (Month/Year to Month/Year or present) Is this client a healthcare organization or hospital system? (Yes/No, if Yes, which) What makes this organization similar to Harris Health?
Please describe in detail what kind of services were rendered:
Client #2
Organization Name:
Contact Name/Telephone No.:
E-mail Address:
Address:
Dates services began and ended: (Month/Year to Month/Year or present) Is this client a healthcare organization or hospital system? (Yes/No, if Yes, which)
Client #3
Contact Name/Telephone No.:
E-mail Address:
Address:
Dates services began and ended: (Month/Year to Month/Year or present) Is this client a healthcare organization or hospital system? (Yes/No, if Yes, which)
Client #4
Contact Name/Telephone No.:
E-mail Address:
Address:
Dates services began and ended: (Month/Year to Month/Year or present) Is this client a healthcare organization or hospital system? (Yes/No, if Yes, which)
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