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    Dentist Contract

    Uploaded by

    April Gonzaga
    This memorandum of understanding establishes an agreement between Maryknoll School of Maniki, Inc. and Dr. Gemma Fe R. Santos, DMD to provide dental services to students for the 2022-2023 academic year. The school agrees to provide a safe setting for dental care and comply with nondiscrimination laws. Dr. Santos agrees to provide needed dental care including yearly checkups to at least 330 uninsured students, submit reports on treatment, and be paid an annual honorarium of 20,000 pesos for services. The agreement is effective from 2022-2023 and may be renewed or modified with consent of both parties.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd

    Dentist Contract

    Uploaded by

    April Gonzaga
    188 views2 pages
    This memorandum of understanding establishes an agreement between Maryknoll School of Maniki, Inc. and Dr. Gemma Fe R. Santos, DMD to provide dental services to students for the 2022-2023 academic year. The school agrees to provide a safe setting for dental care and comply with nondiscrimination laws. Dr. Santos agrees to provide needed dental care including yearly checkups to at least 330 uninsured students, submit reports on treatment, and be paid an annual honorarium of 20,000 pesos for services. The agreement is effective from 2022-2023 and may be renewed or modified with consent of both parties.

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    Dentist-Contract

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    This memorandum of understanding establishes an agreement between Maryknoll School of Maniki, Inc. and Dr. Gemma Fe R. Santos, DMD to provide dental services to students for the 2022-2023 academic year. The school agrees to provide a safe setting for dental care and comply with nondiscrimination laws. Dr. Santos agrees to provide needed dental care including yearly checkups to at least 330 uninsured students, submit reports on treatment, and be paid an annual honorarium of 20,000 pesos for services. The agreement is effective from 2022-2023 and may be renewed or modified with consent of both parties.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    188 views2 pages

    Dentist Contract

    Uploaded by

    April Gonzaga
    This memorandum of understanding establishes an agreement between Maryknoll School of Maniki, Inc. and Dr. Gemma Fe R. Santos, DMD to provide dental services to students for the 2022-2023 academic year. The school agrees to provide a safe setting for dental care and comply with nondiscrimination laws. Dr. Santos agrees to provide needed dental care including yearly checkups to at least 330 uninsured students, submit reports on treatment, and be paid an annual honorarium of 20,000 pesos for services. The agreement is effective from 2022-2023 and may be renewed or modified with consent of both parties.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    of 2

    MEMORANDUM OF UNDERSTANDING

    Academic Year 2022 - 2023

    THIS AGREEMENT is executed by and between MARYKNOLL SCHOOL OF MANIKI, INC AND
    DR. GEMMA FE R. SANTOS, DMD. for the purpose of providing needed dental services to
    students as part of the services given by the school.

    WHEREAS, it is the intention of the Parties to participate in the Program for the purpose of
    providing students of Maryknoll School of Maniki, Inc. with the opportunity to receive
    needed dental services provided by Provider and/or their community partners.

    NOW, THEREFORE, in consideration of the mutual covenants hereinafter contained, the


    Parties hereto agree as follows:

    I. Scope of Agreement
    A. This Agreement forms the basis of mutual understanding and respective
    responsibilities between the School District and the Provider for providing
    needed dental services to students.

    B. This Agreement will be for a period of ONE (1) ACADEMIC YEAR, with review for
    continuation of the Program at yearly intervals. Renewal of this Agreement and
    continuation of the Program will be subject to each Party signing a renewal
    agreement.

    C. School agrees:
    1. To the extent the school is able, provide Students with a safe setting to
    receive dental care. The school shall provide sufficient oversight of the
    Program to ensure that it meets the needs of Students.
    2. To comply with all applicable laws relating to nondiscrimination.

    D. Provider Agrees:
    1. To provide all Students who provide written consent of their parent or
    guardian with the opportunity to receive needed dental care.
    2. To provide or arrange for the provision of necessary dental services
    specifically yearly dental checkup.
    3. To provide needed care to at least 330 uninsured learners each visit as
    scheduled.
    4. To provide the school with an information sheet after each Student’s dental
    visit to include:
    a. A list of completed dental procedures and their corresponding
    dental procedure (CDT) codes.
    b. A list of any unmet treatment needs.
    c. What to do in case of an emergency (including contact information
    for the local dental provider/clinic with which the Provider has a
    contract)
    5. To provide School a report at the conclusion of Provider visits or at least
    once or twice a year.
    6. To provide School a report that will validate contractual agreements have
    been met.

    II. Term of Agreement

    A. This Agreement may be terminated by Maryknoll School of Maniki, Inc.


    B. This Agreement shall be effective from Academic Year 2022 to 2023 renewable.
    C. This Agreement may be modified at any time by written consent of both Parties.
    D. This Agreement constitutes the entire Agreement between the Parties. There is
    no express or implied Agreement except as stated in this Agreement.
    E. All provisions of this Agreement are separate and divisible, and if any part is held
    invalid, the remaining provisions shall continue in full force and effect.
    F. The school will pay an amount of P20,000.00 as an honorarium Annually for the
    service given to the school specifically the learners.

    Signed:

    SR. MA RAY – ANN P. SUDARIA, OP DR. GEMMA FE R. SANTOS, DMD.


    Principal School Dentist

    Witnessed By:

    MERANDE L. PECOLADOS
    School Clinic In-charge

    REPUBLIC OF THE PHILIPPINES

    ACKNOLEGEMENT

    On this ______ day of _______ SR. MA. RAY – ANN P. SUDARIA, OP in her capacity as
    Principal of Maryknoll of Maniki, Inc. and DR. GEMMA FE R. SANTOS personally appeared
    before me and acknowledgement that the above memorandum of understanding is their
    free and voluntary act and deed.

    They exhibited to me their residence certificates, being respectively:

    SR. MA. RAY – ANN P. SUDARIA, O. P DR. GEMMA FE R. SANTOS, DMD.


    CTC No. 18072490 CTC No. ____________________
    Issued on: 01 – 09-2023 Issued on: __________________
    Issued at Maniki, Kapalong Davao Del Norte Issued at: __________________

    Doc. No. __________


    Page No. __________
    Book No. __________
    Series of 2023

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