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Metodologie de incheiere a contractelor cu furnizorii de servicii ...

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17-Tabel <strong>cu</strong> personalul superior non medic si <strong>cu</strong> personalul mediu dupa mo<strong>de</strong>l<br />

din centralizator medici personal medic<br />

18-Adresa <strong>de</strong> E-mail<br />

Pentru <strong>incheiere</strong>a <strong>de</strong> conventii privind eliberarea biletelor <strong>de</strong> trimitere pentru <strong>servicii</strong> medicale clinice,<br />

internare in spital, paraclinice si/sau eliberarea <strong>de</strong> prescriptii medicale <strong>cu</strong> si fara contributie personala,<br />

reprezentantul legal va <strong>de</strong>pune la sediul CASTR, in termenul stabilit, un dosar <strong>cu</strong> urmatoarele do<strong>cu</strong>mente:<br />

cerere pentru <strong>incheiere</strong>a conventiei;<br />

tabel nominal <strong>cu</strong> medicii <strong>cu</strong>prinsi in conventie, care va contine: nume, prenume, cnp,<br />

specialitate, cod parafa, cabinetul medical un<strong>de</strong> isi <strong>de</strong>sfasoara activitatea;<br />

copie dupa cartea <strong>de</strong> i<strong>de</strong>ntitate;<br />

copie certificat membru Colegiul Medicilor;<br />

copie dupa polita <strong>de</strong> asigurare <strong>de</strong> malpraxis;<br />

programul <strong>de</strong> lucru;<br />

<strong>de</strong>claratie pe propria raspun<strong>de</strong>re daca mai are un alt loc <strong>de</strong> munca, un<strong>de</strong> si care este programul<br />

<strong>de</strong> lucru;<br />

35

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