Orange County NC Website
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Between Page 3 <br />fake <br />and OrarrCouzlty OPporturlitiec, Inc, <br />Fa �e County Health Departnierit <br />4p Gf <br />3• The Dental <br />Clinic will sub.it a <br />t bill ill all arr,ouilt of two hundred dollars 55,200.001 <br />Five thousand to: Health Cool- dinator <br />ka1.e— Orange and Chatharu <br />kake County O Head Start <br />568 East PPorturli-ties, Inc.. <br />Lenoir St. <br />Raleigh, A',C, -'601 <br />4. Head Staz-t will transport and su <br />numbers and pejvi.;, children <br />at times �rn�tually o - to the Dental <br />ag, eed u Clinic in <br />5 . Pori by Head start <br />Head Start a " art and the Dental <br />°reel to P1- o� -ide Clinic, <br />tram - automobile liabilit, <br />poit of the children to insurance <br />and fro , dur-zng the <br />Dental rr the Dental clinic; <br />Clinic harruless durina s and a € reel <br />such transport. to hold the <br />. <br />6• Head Start <br />agrees to supply copies pies of necessary elio <br />forms, medicaid bibility <br />cards, medical and <br />fCAP— H.S._30) for the D dental history, <br />Dental Clinic to and record forr,,s <br />rendered. Provide, document and bill for <br />• <br />Upon receipt Of a bill front t <br />a check he Dental Clinic, <br />parable to the Head Start as <br />Dental Clinic of areas to ::;ake <br />address the Orange County Health D <br />it to: ^1r• Daniel B. Reimer-> <br />Department and <br />Orange County Health Director <br />D <br />Post Office Box 81S1 epar -tment <br />Hillsborough, NC <br />�• In the event that the <br />Dental Clinic shall cease <br />the level. Of service below °r significantly <br />the objectives set y reduce <br />agreement, Head S out. in section <br />Start mat_• terminate one (1) of the <br />this agreement <br />to return to Head and the Dental C1 <br />Provided. Start a pro rata share of the payment for s Clinic! agrees <br />- er�'ices not <br />