CN-640000-A830D.pdf
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- Florida
About this file
This document is a Letter of Agreement between the St. Lucie County Health Department, a Florida state agency, and Douglas G. Stein, MD, a medical professional. The agreement is issued under the Florida Department of Health, with Rick Scott serving as Governor and John H. Armstrong as State Surgeon General and Secretary.
The agreement covers male sterilization procedures for referred clients who meet the St. Lucie County Health Department's eligibility guidelines. The health department will pay Dr. Stein $450.00 for each procedure, with a total fiscal year cap of $2,700.00 for the 2014-15 period. A consent form must accompany each billing, and invoices will be generated within 30 days of procedure completion. The contract is valid until June 30, 2015, and will require renewal for subsequent years.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-640000-83497.pdf | ||
| CN-640000-BY030.pdf | ||
| CN-640000-A87E4.pdf |
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P. 2
PAGE 02/02
| ( 8 1 3 ) 971-9529 Jun 06 14 08:23p | Douglas Stein,M.D. |
| 06/06/2014 13:00 7728734935 | SLCHD |
Mission:
To protect promote 5 Improve the health all pimple in Flock' a through integrated =Ie. county & community efforts.
Rick Scott Governor
- Ve 111.
John H. Armstrong, gib, PALS Slate' Sutigoon General & Seeretery HEALTH
Vision: To be the ileatthieit State in the Nation
Letter of Agreement
The following is a setter of agreement between the St, Lucie County Health Department and Douglas a Stein, MD. The intent of this agreement is to provide payment to Dr. Stein for Mate Sterllizations on referred clients who are determined to meet the guidelines for the St. Lucie County Health Department as being eligible. The St. Lucie County Health Department will pay $450 00 for each procedure not to exceed $2700.00 for fiscal year 2014..15.
A consent form will be provide to Or. Stein and will act as authorization for the procedure which must accompany the bill. A bill will be generated within 30 days after the completion of the procedure.
This agreement will be in effect until June 30, 2015 and at that time must be renewed for the following year.
as G. Stein, MD
Larry Lee, Administrator t \ Date -
6/.
Date florid* neperboent of Health St. Lucie. County MO NW inner Doive Portat. Lude, FL 34952
PHONE: 7721462.3800
FAX: 77218734941
vurviw-cloridatifieeith.com TWITTER:tie althyF
FACEBOOK:Flikeartmentnniealth YOUTUBE: fifth
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