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To_Norman Carl sons Chairman Date August 2$, 1984
Board of County Commissioners
COLORADO From Walter J. Speckman, Executive Director, Human Resources
subject: Head Start Agreement with Sunrise Community Health Center
Enclosed for Board approval is an Agreement between Head Start and
the Sunrise Community Health Center. The Agreement will provide
physical examinations for the Head Start children.
Sunrise Community Health Center has agreed to provide the physical
examinations at a rate of $15.00 per child. In past years, Head Start
has paid almost twice the amount to private physicians in order to
obtain similar physicals on each child. This Agreement represents
a significant savings in the Head Start Health budget.
If there are any questions, please contact me as quickly as possible.
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AGREEMENT
THIS AGREEMENT, made and entered into this 29th day of
August , 1984, by and between the Sunrise Community Health
Center, hereinafter referred to as "Health Center," and the Weld
County Division of Human Resources' Head Start. Program, hereinafter
referred to as "Head Start."
WITNESSETH
That for and in consideration of the covenants and agreements
herein agreed to be kept and performed, the Health Center agrees to
provide Head Start the following described services upon the following
terms and conditions:
1. The Health Center shall provide a physical examination on each
referred Head Start Child. The physical examination shall
consist of the following:
a. Physical Examination
b. Hemocrit
c. Urine Analysis
2. Head Start agrees to reimburse the Health Center a maximum cost
of $15.00 per child for physical examination services.
3. The Health Center agrees to provide immunizations and
additional follow-up tests as is deemed necessary on each
referred Head Start child.
4. Reimbursement for immunizations will be the responsibility of
the Head Start Program in addition to the cost for physical
examinations.
5. Head Start shall not be charged for any Head Start child who is
covered by Medicaid. Medicaid numbers shall be provided to the
Health Center at the time of the set appointment and billing
shall be sent to the appropriate agency by the Health Center.
6. Head Start agrees to transport Head Start children to the
Health Center to meet scheduled appointments at the Health
Center.
7. The term of this agreement is from September 5, 1984 through
May 17, 1985.
8. 7his agreement may be amended at anytime with the written
mutual consent of both parties.
9. -he Health Center and Head Start mutually agree to accept that
this agreement may be cancelled by either party after a thirty
(30) day written notice has been given the other party.
IN WITNESS WHEREOF, the parties hereunto have caused this
agreement to be duly executed as of the day and year first hereinabove
set forth.
SUNRISE OMMU CENTER WELD COUNTY BOARD OF COMMISSIONERS
/ Norman Carlson, Chairman If WELD COUNTY DIVISION OF HUMAN
RESOURCES
/ , 1 ,_
Wafer. J./Zpeckman,
Executive Director
ATTEST m, `1-eAll/rzb vl.[,r-/
WELD
COUPslT`'�CI_E K AND RECORDER
AND CLERK TO T 1E BOARD _
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