MMS & Alliance Charitable Foundation Contribution Form (pdf)

9/3/2004

:  _______________________________________  Exp. Date:  ______   AMEX      Visa     MasterCard      Donor Recognition      I/we …

/Charitable_Foundation/Giving_to_the_Foundation/MMS___Alliance_Charitable_Foundation_Contribution_Form_(pdf)/

Massachusetts Integrated Application for Re-Credentialing/Re-Appointment (pdf)

6/25/2004

; date and place at which claim arose; amounts paid, if any; date and manner of disposition, judgment …, settlement or otherwise; date and reason for final disposition; if no judgment or settlement, patient’s …: ___________________________________________________________________________________ I am NOT Board Certified and will sit for the board exam on the following date …

/workarea/DownloadAsset.aspx?id=2152

Patient Satisfaction Surveys (pdf)

6/9/2004

you can provide even better services when they return to your practice at a later date …

/workarea/DownloadAsset.aspx?id=2127

Physician Credentialing Fact Sheet (pdf)

3/29/2004

application shall include: An application that is signed and appropriately dated by the physician applicant … affirmative answer A current CV with appropriate required dates in months and years A signed, currently … dated Applicant’s Authoriza- tion to Release Information form Copies of current licenses in all …

/workarea/DownloadAsset.aspx?id=2128

Medical Practice Marketing (pdf)

2/6/2004

card and mails it at the appropriate recall date. Doing so takes very little time, builds the practice … confrontations with angry patients that receive bills months after the date of service because your office has …

/workarea/DownloadAsset.aspx?id=2125

Small Business Administration (SBA) Loan Fact Sheet (pdf)

9/24/2003

guaranteed loans offer extended repayment schedules that match the maturity date with the loan’s …

/Practice-Support/Practice-Management/Small-Business-Administration-(SBA)-Loan-Fact-Sheet-(pdf)/

The New Massachusetts Genetic Privacy Act - Implications for Physicians (pdf)

2/5/2003

authorization form which is dated, specifies the types of persons authorized to disclose information about … to be disclosed to my Physician for the purpose of providing medical care to me. Date … to the performance of the Test. Date Name of Patient (print …

/Practice-Support/Legal-and-Regulatory/The-New-Massachusetts-Genetic-Privacy-Act---Implications-for-Physicians-(pdf)/

International Health Studies Grant Program Summary (pdf)

11/15/2001

pregnant women and children referred to the program. Transition House - $5,000 to support the Dating …

/Charitable_Foundation/Our_Grants_in_Action/International_Health_Studies_Grant_Program_Summary_(pdf)/

Principles for Profiling Physician Performance (pdf)

8/17/2000

input to accreditation processes, and to inform the public. Physician profiling efforts to date have … Profiling Physician profiling, to date, has been driven by the efforts of managed care orga- nizations … widely used set of profiling measures to date are those developed by the National Committee …

/Advocacy/Key-Issues/Principles-for-Profiling-Physician-Performance-(pdf)/

Important Differences Between Health Care Proxies and Living Wills

8/1/2000

form at a later date; legally separating from or divorcing your spouse and your spouse is named as your …

/Patient-Care/Health-Topics/Health-Care-Proxies-and-End-of-Life-Care/Important-Differences-Between-Health-Care-Proxies-and-Living-Wills/