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HCA ABCD Final
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2022
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07. July
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2022-07-19 10:00 AM - Commissioners' Agenda
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HCA ABCD Final
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Last modified
7/14/2022 1:23:51 PM
Creation date
7/14/2022 1:22:41 PM
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Meeting
Date
7/19/2022
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
d
Item
Request to Approve an Amendment to the Health Care Authority Access to Baby Dentistry
Order
4
Placement
Consent Agenda
Row ID
91496
Type
Agreement
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ElectronicRecordandSignatureDisclosurecreatedon:5/22/20196:49:33AMPadiesagreedto:ChelseyLoeffersELECTRONICRECORDANDSIGNATUREDISCLOSUREFromtimetotime,CloudPWROBOWashingtonStateHealthCareAuthority-SubAccount(we,usorCompany)mayberequiredbylawtoprovidetoyoucertainwrittennoticesordisclosures.DescribedbelowarethetermsandconditionsforprovidingtoyousuchnoticesanddisclosureselectronicallythroughtheDocuSignsystem.Pleasereadtheinformationbelowcarefullyandthoroughly,andifyoucanaccessthisinformationelectronicallytoyoursatisfactionandagreetothisElectronicRecordandSignatureDisclosure(ERSD),pleaseconfirmyouragreementbyselectingthecheck-boxnextto'Iagreetouseelectronicrecordsandsignatures'beforeclicking'CONTINUE'withintheDocuSignsystem.GettingpapercopiesAtanytime,youmayrequestfromusapapercopyofanyrecordprovidedormadeavailableelectronicallytoyoubyus.YouwillhavetheabilitytodownloadandprintdocumentswesendtoyouthroughtheDocuSignsystemduringandimmediatelyafterthesigningsessionand,ifyouelecttocreateaDocuSignaccount,youmayaccessthedocumentsforalimitedperiodoftime(usually30days)aftersuchdocumentsarefirstsenttoyou.Aftersuchtime,ifyouwishforustosendyoupapercopiesofanysuchdocumentsfromourofficetoyou,youwillbechargeda$0.00per-pagefee.Youmayrequestdeliveryofsuchpapercopiesfromusbyfollowingtheproceduredescribedbelow.WithdrawingyourconsentIfyoudecidetoreceivenoticesanddisclosuresfromuselectronically,youmayatanytimechangeyourmindandtellusthatthereafteryouwanttoreceiverequirednoticesanddisclosuresonlyinpaperformat.Howyoumustinformusofyourdecisiontoreceivefuturenoticesanddisclosureinpaperformatandwithdrawyourconsenttoreceivenoticesanddisclosureselectronicallyisdescribedbelow.ConsequencesofchangingyourmindIfyouelecttoreceiverequirednoticesanddisclosuresonlyinpaperformat,itwillslowthespeedatwhichwecancompletecertainstepsintransactionswithyouanddeliveringservicestoyoubecausewewillneedfirsttosendtherequirednoticesordisclosurestoyouinpaperformat,andthenwaituntilwereceivebackfromyouyouracknowledgmentofyourreceiptofsuchpapernoticesordisclosures.Further,youwillnolongerbeabletousetheDocuSignsystemtoreceiverequirednoticesandconsentselectronicallyfromusortosignelectronicallydocumentsfromus.Allnoticesanddisclosureswillbesenttoyouelectronically
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