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MED-PASS:  The Fine Art of Document Design

Consultant Pharmacist Model Contracts - Nursing Facility and Assisted Living Community


Availability: In stock

Price: $149.00

Conditions of Purchase for Consultant Pharmacist Model Contracts - Nursing Facility and Assisted Living Community                     

Due to the proprietary nature of the information contained in this product, it is non-returnable and non-refundable.   If you would like additional information about this product before making a purchase, please contact MED-PASS customer service at 800-438-8884.

Some products can be previewed before purchasing.  To determine if a product is eligible for preview, look for the Preview link on the product page of this web site or contact MED-PASS customer service.

Additionally, this product is protected by copyright and provided for use only in and by a single location or facility.  By purchasing this product, you agree that you will not copy, transfer, or otherwise make the product available for use by any person or system except for those required to perform the operating and business functions within the single location or facility the product was purchased for.  You further agree that should additional copies or licensing be desired, an additional fee for each facility is due, and you will contact MED-PASS, Inc. to arrange for payment for such copies or licenses.

If you agree to the copyright, non-returnable, and non-refundable conditions of this product and wish to continue with your purchase, please confirm by selecting the "I Agree" button below.

Price: $149.00

ASCP Member Special Price: only $99.00

To receive ASCP member pricing – you must be registered and enter your ASCP member number during log in - click here.

This product requires that your entire order be paid by credit card.

Created in response to customer demand for affordably priced model contracts - now available for online purchase and download.

CMS recommendations for managing the appearance or existence of conflicts of interest – learn how the MED-PASS/ASCP model contracts can help you meet the CMS recommendations.


Save money, time and effort with these model contracts specially created for consultant pharmacists serving long-term care facilities and assisted living communities. 


Included in this consultant pharmacist model contract package:

  • Model Contracts – LTC and AL
  • Scope of Services Exhibits – LTC and AL
  • Fees and Payment Terms Exhibits – LTC and AL
  • Conflicts of Interest Disclosure Form



The documents are provided as a Microsoft Word® file that can be purchased online and downloaded via a link provided by email after purchase is completed.


The documents are designed to serve as templates that should be reviewed by a legal advisor to ensure compliance with local and state law.


The documents are in a Microsoft Word

  • This model contract package includes:
    • Two Model Contracts – contract language reflects the different practice settings
    • Two Scope of Services (Exhibit A) – tailored to the different practice settings
    • Two Fees and Payment Terms (Exhibit B) - language reflects the different practice settings
    • One Conflicts of Interest Disclosure Form – applicable to either practice setting
  • To edit these documents you will need Microsoft Word® 98 or newer software
  • The Model Contract package is delivered via email link provided after completion of online purchase
Format Microsoft Word
Number of Pages 27
Published Revised #N/A

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