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2016-406-E Health - Starpoint Global Services for scanning of medical records
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2016-406-E Health - Starpoint Global Services for scanning of medical records
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Entry Properties
Last modified
8/9/2016 8:52:01 AM
Creation date
7/27/2016 2:52:45 PM
Metadata
Fields
Template:
BOCC
Date
7/27/2016
Meeting Type
Work Session
Document Type
Agreement
Agenda Item
Amendment/Mgr signed
Amount
$15,000.00
Document Relationships
2016-163-E Health - StarPoint Global Services for scanning of medical records
(Linked To)
Path:
\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2016
R 2016-406-E Starpoint Global Services for scanning of medical records
(Linked To)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2016
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DocuSign Envelope ID:3B343F2B-F3EC-4D90-A7F9-1C4402CBA567 <br /> DocuSign Envelope ID:DB0158A0-1139-48CD-8576-549C07AE1795 <br /> Exhibit F <br /> Authority For Access <br /> This shall be considered authorization for the following named individuals to have access to the contents held in the account of: <br /> Client Name: Client Account No. <br /> Department Sub Department <br /> Client Address: City: State: Zip Code: <br /> at Starpoint Global Services.These same individuals shall be considered having authority to order any and all disposition of the contents of this <br /> account by personal access,telephone,facsimile,email or written request until further written notice. <br /> ADD THE FOLLOWING: <br /> Pam McCall <br /> (Printed First Name) (Printed Last Name) (Optional Password,8 characters) (Signature) <br /> Judy Butler <br /> (Printed First Name) (Printed Last Name) (Optional Password,8 characters) (Signature) <br /> Madelyn Davis <br /> (Printed First Name) (Printed Last Name) (Optional Password,8 characters) (Signature) <br /> Rebekah Hermann <br /> (Printed First Name) (Printed Last Name) (Optional Password,8 characters) (Signature) <br /> Cathy York <br /> (Printed First Name) (Printed Last Name) (Optional Password,8 characters) (Signature) <br /> Robin Gasparini <br /> (Printed First Name) (Printed Last Name) (Optional Password,8 characters) (Signature) <br /> April Walker <br /> (Printed First Name) (Printed Last Name) (Optional Password,8 characters) (Signature) <br /> VOID THE FOLLOWING: <br /> • <br /> (Printed First and Last Name) (Printed Firer'and Last Name) <br /> (Printed First and Last Name) (Printed First and Last Name <br /> (Printed First and Last Name) (Printed First and Last Name <br /> (Printed First and Last Name) (Printed First and Last Name <br /> THIS AUTHORIZATION MUST 13E SIGNED BY AN OFFICER'OR AUTHORIZED MANAGER OF THE COMPANY <br /> Colleen Bridger, Ph.D, MPH Director of Health <br /> (Print Name) (Signature) (Title) (Hate) <br /> This document is confidential and contains the names of those individuals who are authorized to access any and at records stored at Starpoint Global Services.This information is Intended <br /> only for the usa of those individuals.Do not copy or distribute,To maintain security of your records please notify us Immediately of any and all changes using this farm.Changes become <br /> effective 24 hours after receipt of Original Copy.Fax and photocopies cannot be accepted, <br /> 3 <br />
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