Contract Request Form
(Hospitals and Health Systems)

Summary

This template provides a request form to be used by all members of a healthcare organization's workforce when requesting any contract involving the organization. This template should accompany a healthcare organization's contract review and approval policy and should be made a mandatory part of the organization's contracting process. This template includes practical guidance and drafting notes. For a sample contracting policy template to be used in conjunction with this form, see Contract Review and Approval Policy (Hospitals and Health Systems). For additional resources on healthcare organization contracting, see Medical Group Management Contracts, Physician-Hospital Contracts, Managed Care Risk Contracting, and Contract Research Organization Agreements.