August 30, 2013

Attorney General Approved Standard Affiliation Agreement Templates

In August 2012, Assistant Attorney General Erica Sumioka provided the Schools with a memo regarding her office’s approach to the review of Affiliation Agreements (attached above). As Health Sciences Administration (HSA) continues to understand and refine procedures in support of the Health Sciences Schools, we request the following when presenting Affiliation Agreements for Dave Anderson’s review and signature:

Agreements with no changes to the language in the AGO approved standard template and/or the AAG has already signed the document:

• Attach a cover page that indicates it is the approved standard template
• Note the person and preferred delivery method for return of the signed agreement (HSA will always send a scanned copy in addition to returning the original to the School). Agreements can be dropped off and picked up at C414-k
• Plan on 3 business days for HSA review, signature and return

Agreements with changes to the standard template and/or Training Site generated templates:

• Route to Alice Becker, AAG for review and signature prior to requesting Dave Anderson’s signature
• Note: please plan for up to 30 days to complete review at the AAG level
• Route to Dave Anderson for signature

Attorney General Approved Template for School of Dentistry

Attorney General Approved Template for School of Pharmacy

Attorney General Approved Template for School of Public Health

Attorney General Approved Template for School of Nursing

Attorney General Approved Template for School of Social Work