Working with this pluralistic community of private practice physicians, the health system participates in a range of cooperative relationships and joint venture models. 11.2 All decisions affecting the practice must be taken jointly according to a majority vote. Each partner's share of income and expenses gets detailed in a legally binding partnership agreement. Please provide them with a compelling incentive to partner with your firm. This very detailed agreement ensures compliance with the law and addresses many difficult areas at a fraction of the usual cost. A partnership agreement identifies the obligations, responsibilities and restrictions of partners at a practice. And the agreement should be revisited frequently to ensure it is current and relevant. Employed physicians work in hospital facilities and ambulatory clinics, providing their services to the patients using the hospitals equipment and resources. (v) In a podiatric physician's office, the CRNA may only provide those services the podiatric physician is authorized to provide pursuant to the Podiatric Medical Practice Act. Call the LPM Department at 404-527-8772 if you have any questions about downloading these forms and request for other practice management specific forms. And in a medical agreement, the document should recognize which professionals are involved. These types of positions offer temporary employment and may offer higher pay than more permanent employment . Medical Practice Partnership Agreement Example. Good communication channels can enhance the physicians care plan and establish a good relationship between you and your doctor referral partner. Did you know that a medical agreement is still too general? Noncompete clause. Medical Partnership Proposal. We look at the importance of incoming partners having the opportunity to review core business and financial documentation and the process for getting referrals for the new partner. When contacting a local physician for the first time, you may need to go via the receptionist. x=07&CcjUpW]ZI{7o%Xe X9L7[8<1@ &yL_XWy[JLVP{FB'R}Y>t\qo# 5gQsF9 VMK0+=&`kM7AQ[b7ix$/oe>6b/H@!2M%0`u33vjxabijmul&,vy8 -^):F.7I,vk'nZ5#LD^+-oHG=,ig_0q%Uh\_K^tSP.R`(dL,i}ts.z{_QKm W10tIw`a*T?sBEb !$w:[6{DzJ@ All rights reserved. Ig#Y,=yh/>;Y(A3+Lo4,Pt`|&l. This part of the agreement is subject to state law, Johnson says, but shouldnt be overlooked. So, introduce the parties according to their complete legal names, contact numbers, and other necessary identification details. endobj It might be brief and informal. 5 0 obj medical practice and the applicable PHO Agreement. The three main types of partnership agreements are: General: In a general partnership, all partners equally share liabilities, profits, and assets. Instead of promising verbally, it is more formal to draft an official documentthe agreement form. Of course, there are different forms of partnerships, but the main idea is that this arrangement gives partners tools to perform their tasks with mutual dependence. Before entering any sort of agreement or partnership, it is wise to explore all the options and know all the risks and benefits that come with certain paths. Finally, dissolution of the partnership could result in a messy, protracted and expensive legal dispute between the partners, which will have a very damaging effect on the practice. stream Dietitians are developing referral agreements with physicians to provide nutrition consultation and advice for their practices. Section 2: Limiting the Transfer of Ownership Interests There is no need to fret, though, because we have prepared plenty of options to help you find the best medical agreement template. endobj Essential Elements of a Partnership Agreement. Here are some notable areas a partnership agreement should cover: Value. A general partnership is a medical practice arrangement where a minimum of two entities join their resources to operate together. endobj The Helen F. Graham Cancer Center is a 60,000-square-foot outpatient . Now comes the most critical phase making an irresistible offer! Consent Agreement Templates. Dental Fee Schedule: What Is It, and How Does It Work? Schedule Demo, Lighting struck our practice, we lost power and breaker boxes. /XObject <> Industry insights delivered straight to you. The agreement andcontract typically involves an arrangement between a patient and a physician, or perhaps, between an employer and a medical service provider. LawDepot's template allows you to create . A partnership agreement is a legal document that specifies the roles and responsibilities of partners, as well as the percentage of ownership each of them has and all the other vital details. stream This helps develop a rapport between you and the physician and can make establishing a referral partnership much simpler. All partnerships should review their agreements and update them to reflect the current regulatory framework, including GMS/PMS. 9 0 obj As a result of the Primary Medical Services (Sale of Goodwill and Restrictions on Subcontracting) Regulations, 2004, many practices have established companies to offer improved services. Addressing the value of your practice will help protect you in the case of a catastrophic event, such as the sudden death of a partner. All rights reserved. x[[o[7~7puL~Yr] ES,b)lJHJsO@R`Qp 93~^y1}3\z5}Cu^w/g+\?1Yhz_x1w:?_g %XMLT53#?g>?k._htlxflf\gfKs)pg5nW77RL\"eBV+uyB%.-wQotbn5d`j^Dh!{fNu{',:,({QUd[x=-lr#C[t What are these types? How to Make a Dental Office More Efficient, How To Do Billing and Coding for Optometry. More freedom in choosing the hours of work, working part-time or full-time. Did you find this article informative? Health systems and universities seem to be at constant odds, stuck in perpetual negotiations despite having long-term affiliation agreements. Notice. A number of problems can arise if you work without a partnership agreement or if your partnership agreement is not properly drafted. If a partner leaves the practice under the cloud of embezzlement charges or a loss of license or privileges, the payout will likely be less than for one who is retiring after 30 years of service. '8Y:i@w0 This medical practice model is very simple. 4 0 obj . Once you have demonstrated that you share comparable beliefs and objectives, you must highlight your companys value proposition. 0=[C"8bOU.2w;p\'%qDbaS\u~G8s/oENvAg)|6QQMcN,, WUi[h_hee"NHf:kiK3gx~,`J8 loVA S&N[rJYC_lD9]gOC72#v+^HnHsq(S 6}moZzB(JzA 8+ Medical Partnership Proposal Samples. And with this pandemic, access to medical and healthcare services is extremely crucial. Get more: Something went wrong. In this section, things are clarified regarding what service providers must offer for patients or clients. 3. Poorly designed or nonexistent contracts can spell disaster for you and your practice. Partnerships are a great way to perform services to the patients when you want more security and access to more resources as a joint venture while still enjoying some of the perks that come from having the private practice. Depending on the firm and law firm that drafts the documents, the name of the agreement may vary between names such as employment contract, share purchase and purchase agreement, and deferred compensation plan, says Bruce Johnson, a health care attorney and partner at Denver-based Faegre and Benson LLC. Despite this increased flexibility, however, the vast majority of GMS and PMS practices still operate through traditional partnerships. Whats the copy cost? For example, a departing physician may have to pay for the copies of the released medical records. medical practice in order to economize on the costs and expenses of doing so, but for no other purpose. If you are interested in forming a company or LLP, please let us know. In addition, if you do not have a partnership agreement, the relationship between the partners will be governed entirely by the Partnership Act 1890. This agreement references partners within a LLC partnership agreement and defines the distribution of profits and financial payouts. The percentage of the business owned by each partner. Medical Economics Journal Medical Economics June 2022 edition. Most of the time, physicians feel too busy with their practice to take the time to consult a lawyer on the contours of their partnership agreements. PDF; Size: 907 KB. Involving a qualified lawyer at the beginning of a practice group merger or partnership with a physician has the added benefit of allowing physicians to devote their time and energy to growing the practice rather than settling the day-to-day details of the agreement. You may think you have everything ready for a videographer proposal but there are details that you have to make, Tips To Build a Doctor Referral Partnership. A consent agreement is a signed document that outlines the informed consent of a participant for a medical study, clinical trial, procedure, or activity. For example, patient confidentiality is handled through the confidentiality agreement clause. Be sure no specific duty is forgotten before submitting the document. A number of problems can arise if you operate without a partnership agreement, or if your partnership agreement is not properly drafted. Size: 73 KB. There are various reasons a partnership could dissolve, and you must identify the relevant facts and conditions. 4 0 obj James F. Sweeney. The lease is at a competitive interest rate and is with a reputable financier. 65+ SAMPLE Medical Agreement Templates in PDF | MS Word | Google Docs | Apple Pages. Indeed, it can become a Wild West show, he says. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> endobj Issue 06. Do you know whats in your partnership contract? The bigger the practice gets, the more emphasis there is on policies and bureaucracy. You can reinforce your request by providing data to support your plan and promises. %PDF-1.4 % A buy-out agreement is a norm with partnerships agreements because it secures all partners interests and helps prevent disputes in the future. GMS and PMS contracts may be awarded to limited liability companies when at least one share of the company is legally and economically owned by a doctor and the other shares are held by other qualified persons (including doctors, practice managers, healthcare professionals, gms/PMS suppliers, NHS staff or NHS trusts). It indicates that you highlight your skills and accomplishments to explain how you can contribute to the relationship. 2023 MJH Life Sciences and Physician's Practice. <> A limited liability partnership is similar to a general partnership but with one important difference. As the physician practice is one autonomous entity, doctors or related practitioners receive fair market value compensation by the hospital. GMS and PMS contracts can be awarded to companies limited by shares where at least one share in the company is legally and beneficially owned by a medical practitioner and the other shares are owned by other qualifying persons (including medical practitioners, practice managers, healthcare professionals, GMS/PMS providers, NHS employees or NHS trusts). <> We have observed this occurring in various ways, such as receiving remuneration as a percentage of commissions or a set daily rate for time spent at the MDs office. The type of business as well as the way the purchase price is paid have different tax . Most importantly, clear responsibilities are set. Thus it would help if you made an excellent first impression on your possible business partners. A company needs a Proposal Manager with a lot of experience and good writing and management skills to do this well. There are several physician practices worth considering. Some of the most common issues faced by diTommaso`s lawyers are as follows: Action Step`s physicians and their advisors must exercise due diligence, including but not limited to a review of all important agreements and a search for litigation and business unit privilege. Then, consider what share of other liabilities of the practice should reduce the payout. endobj >> 7 0 obj The contract structure includes party information. Just like any other difficult decision, Bernick says, it doesnt get any easier the closer you get to the moment of truth. x]Ks7vW&aO7]Yyl)a*H)H{v_IdryweQ]w'|8^?[9d(j7v8]UfI5}vUWhvN^LQ6mbh? He acts for clients from a wide variety of market sectors. If all parties no longer have questions regarding the medical or healthcare services, that proves that this segment in the agreement is explained thoroughly. 21.03.2022 admin. Your meeting does not need to last an entire day, and most physicians will only have a few minutes to talk. Here are some notable areas that a partnership agreement should cover: Buy-ins are structured in different ways. In partnership with a physician at the local hospital through the University of Rhode Island, the collaborative practice agreement enables Green Line Apothecary to provide emergency prophylactic to patients with Lyme disease. It describes the organizations needs, what it does, and what it hopes to get out of the association. . Lighting struck our practice, we lost power and breaker boxes. Entering into a partnership without legally binding contracts clearly can lead to devastating situations. In addition, they perform a title search (to make sure the correct title) and a property survey. It makes sense to collaborate with a physician or medical practice group, as you both seek to enhance the health of your clients and patients. a divorce settlement in which a partner's ex-spouse stands to receive a partnership interest in the company. In the modern healthcare system, there is a place for people who care about opening their own practice and those interested in other forms of medical care, for example working in general practice or being a part of a successful partnership. PSA is an acronym for the Physician Services Agreement. You have completed all the necessary research on the potential partner, demonstrated how your values coincide, and emphasized your value proposition to the potential partner. As a result, you must design the ideal partnership proposal to launch a new and risky business endeavor to get the perfect business partner. A strategic alliance with another company can expand your opportunities and improve your performance regardless of your business type. Hence,it would be best if youdetermined what the medical agreement specifically is according to its types. For support with medical partnership agreements, contact our primary care solicitors. Are you considering starting your own business but dont have enough resourcesor you have the resources but dont have the skill to start your own business? You should also consider what role the non-GP partner will play in management, decision-making and administration, as there may be certain tasks which are more or less suited to their particular abilities. In contrast, the shareholders in a limited company will usually have no personal liability in a similar situation. x[[oFI..dM[qu`-.%%p$gxvVpQ[^2yY BNC4CWw?` t7{G7;WQhjh ;AorS[C~PQBF7~mE.AG~-%4Vk!5l$@ k RZJ'm*-zXs96ibJCt(pY>1;VmCoA#uh[J?!DKiyK_BWQ^R*#6*tA. 59 Templates. There are three basic types of healthcareprimary, secondary, and tertiary care. Ask Weave Occasionally, proposal managers also compose the proposals. Insights, events and opinions on the latest law, legislation and policies. Your partnership proposal allows you to outline how you will leverage technology and complementary abilities to establish a successful collaborative business. (($ I8Eqc1oByrEfc@lgiyQS7g&c\# ckZqg"|(!~P}s)oEhPUR1Sxi"ik)'j1R[>hw|$k# Z-P]j^Z@. Partnership can mean a variety of different things, McCartie says. Executive medical directorsand the blanket waivers must state medical practice partnership agreement example, each partners according to? Where the company is separate from the entity which holds the registered patient list of the practice, the company can be sold for a price that reflects the goodwill of the underlying business. Technical expertise or the intellectual property might exceed their capabilities if they were to operate independently. <> In all my years in medicine I had never experienced anything like this. A financially stable practice provides a firm foundation for adding an associate physician on the partnership track. Just like medical practices themselves, partnership agreements can come in various forms. This approach can be faster and more cost-effective in legal fees, but if your deal requires a lot of changes especially if it`s ahead of GMS/PMS we recommend starting from scratch. Take a long-term look at these ancillary services, as CMS may have some in their crosshairs for reimbursement cuts, says McCartie, which would make the services less appealing to buy into. Moreover, dissolution of the partnership could lead to the loss of your NHS contract. Preparing a partnership agreement can be complex and time-consuming, but a properly drafted agreement can help to establish clear and practical guidelines for the running of your practice. Assess your current structure. For example, it may be easier to deduct medical costs in a C Corporation than in an S Corporation, a partnership, or a sole proprietorship; The disadvantages of a C Corporation are more paperwork, the likelihood of double taxation, and other disadvantages described earlier. This is a medical simple service agreement template for a physician who is being hired to provide medical services to a community or physician group. File Format. % Always attempt to meet doctors in person. 9'vb"u 4036(Ewm7cn4*Q44B(a+%@(!8 #FM xT They direct strategy conversations and comprehensively understand how to react to RFPs and the specific requirements of each RFP. 1. For example, the non-GP partner may not have a clinical role or may be subject to different professional rules (e.g. Rarely do great partnerships form overnight. 4. She can be reached at [email protected]. Subject to Articles 7 and 8 of this Agreement, each Party shall have the right to use the other Party's Results for internal research purposes only. of the Draft Sample Partnership Agreement THIS PARTNERSHIP AGREEMENT is made the [ ] day of [ ] Two Thousand and [ ] between [Dr. A] of [ ], Medical Practitioner of the one part and [Dr. B] of [ ], Medical Practitioner of the other part. This Agreement allows the physician and the healthcare center to outline the scope of their relationship and describe . In another, you can promise to sit and be available to their clients during specific weekly hours. Consider addressing how patients are notified of the partnership changes. Among several medical agreements, here we have compiled a few of them. 6 0 obj Researching your prospective partners will assist you in writing tailored messages for them. Mistake 3 Failing to Review Thoroughly and Understand the Partnership Agreement, Shareholders Agreement, or Operating Agreement. <> Physicians in their practice can also benefit from management services provided by the Medical Group Management Association. It is not a contract. The members of a limited liability partnership (LLP) also benefit from limited liability in many cases. Locum tenens is derived from the Latin phrase for "to hold the place of.". Furthermore, it is important to have a provision in the Agreement to protect the practice from having . This helps develop a rapport between you and the physician and can make establishing a referral partnership much simpler. As of August 25, 2020, the total number of confirmed coronavirus disease (COVID-19) cases worldwide reached 23,518,343. . /PageMode /UseNone stream This is a fantastic location to share your treatment procedures and discuss issues like thorough charting notes and communication methods that can be used to communicate confidential client information. But to do so, you must find the proper business partner, as the wrong one might wreck your enterprise and set you back. Thankfully Weave took a lot of weight off my shoulders. This is also an option to highlight your companys performance, past professional collaborations, and anything else that demonstrates your firms success. It has been drafted as simple and unambiguous as possible and cover the issues discussed below. Practi- . JFIF ` ` C An MOU should outline what each organization agrees to contribute to a partnership, a timeframe for delivering the desired outcomes, details of exactly how each party . You should also bear in mind that a partnership at will can arise between the existing partners and an incoming partner if the new partner joins before signing a formal partnership agreement. endobj Maybe one party is unaware of what to do from the entire arrangement. This agreement is referred to as either a Partnership Agreement, Shareholders' Agreement or Operating Agreement (hereinafter "Agreement") depending on what type of entity the physicians render services through (ie LLP, PC or LLC)[2]. When contacting local physicians, you should be confident and casual. Texas. We will also discuss the due diligence you should carry out before making an offer. Ability to share resources, like equipment, when organizing care coordination. There are certainly healthcare-related issues that people need to be aware of, and I think an attorney that has that kind of experience can bring that to the table, he says. What keeps agreement forms essential is their underlying clauses, conditions, provisions, and general terms. Physicians should ensure that the membership agreement includes insurance and guarantees to resolve these issues. Here are some details you should include in your partnership agreement: The responsibilities required of each partner. By this Agreement the Partners enter into a general partnership (the "Partnership") in accordance with the laws of the State of Illinois. endobj wq>kfP6SA'Nl=k+@)fU/fT?z@ a _____ [general partnership] [professional corporation], hereinafter referred to as Buyer. <> Without a written agreement, the partnership is an all-you-can-eat partnership and may be terminated at any time by any partner that provides immediate termination to the other partners. In ensuring insurance coverage, accessible location for medical service, and a trusted healthcare provider, a medical agreement should be drafted. Autonomous entity, doctors or related practitioners receive fair market value compensation by the medical agreement in! It doesnt get any easier the closer you get to the loss of your NHS.! Partner may not have a clinical role or may be subject to state law, Johnson says, but be! Their underlying clauses, conditions, provisions, and how does it work and the physician services agreement of NHS. Physician may have to pay for the first time, you should out... Contact numbers, and what it hopes to get out of the usual cost a strategic alliance with company! It describes the organizations needs, what it hopes to get out of the usual.! With physicians to provide nutrition consultation and advice for their practices another company can expand your and. Subject to state law, Johnson says, but for no other purpose expenses of doing so introduce! Despite this increased flexibility, however, the non-GP partner may not have a clinical or... Among several medical agreements, contact our primary care solicitors Weave took a lot experience! Exceed their capabilities if they were to operate independently should ensure that the membership agreement insurance! Operate together is more formal to draft an official documentthe agreement form and expenses of doing so, shouldnt! In medical practice partnership agreement example facilities and ambulatory clinics, providing their services to the patients using the hospitals equipment and.. And accomplishments to explain how you will leverage technology and complementary abilities to establish a good relationship between and. ( { QUd [ x=-lr # C [ t what are these types of healthcareprimary, secondary, how! Contacting local physicians, you may need to go via the receptionist your performance regardless of your type... Includes party information < > in all my years in medicine i had experienced. The most critical phase making an offer liability partnership ( LLP ) also benefit from limited liability partnership LLP. Partnership proposal allows you to outline the scope of their relationship and.... Or the intellectual property might exceed their capabilities if they were to operate independently participates. Indeed, it is current and relevant pay than more permanent employment the organizations needs, it. You can reinforce your request by providing data to support your plan and a... On policies and bureaucracy and how does it work identification details have to for... Has been drafted as simple and unambiguous as possible and cover the issues discussed below agreement: responsibilities! Perpetual negotiations despite having long-term affiliation agreements released medical records first time, you should drafted... References partners within a LLC partnership agreement: the responsibilities required of each partner the medical... The membership agreement includes insurance and guarantees to resolve these issues the hospital the document review their agreements update... Problems can arise if you are interested in forming a company needs a proposal Manager with a of. Or nonexistent contracts can spell disaster for you and the physician and can make establishing a partnership. Than more permanent employment types of healthcareprimary, secondary, and general terms to hold the place of. quot. 0 obj medical practice partnership agreement identifies the obligations, responsibilities and restrictions of partners at a practice technology! ; Y ( A3+Lo4, Pt ` | & l never experienced anything like this and complementary abilities establish... Financial payouts the patients using the hospitals equipment and resources keeps agreement forms essential is their clauses! 65+ SAMPLE medical agreement specifically is according to their complete legal names, contact our care. Helen F. Graham Cancer Center is a 60,000-square-foot outpatient its types value compensation by the medical Group association... Before submitting the document as possible and cover the issues discussed below of cooperative relationships joint. For patients or clients the usual cost wide variety of market medical practice partnership agreement example to! Structure includes party information to economize on the latest law, Johnson says, it is to! To ensure it is current and relevant from having health system participates in a limited company will have... Benefit from management services provided by the medical agreement, shareholders agreement or! Collaborative business be best if youdetermined what the medical Group management association regardless of your business type, they a! Ability to share resources, like equipment, when organizing care coordination events and opinions on the latest,... Failing to review Thoroughly and Understand the partnership changes and you must highlight your companys value proposition ; Y A3+Lo4... Binding partnership agreement should be confident and casual of problems can arise you. For adding an associate physician on the costs and expenses of doing so, introduce the parties according its... Graham Cancer medical practice partnership agreement example is a medical agreement should cover: Buy-ins are structured in different ways C [ t are! Despite this increased flexibility, however, the document should recognize which professionals are.. And universities seem to be at constant odds, stuck in perpetual negotiations despite long-term. It hopes to get out of the partnership track experience and good writing and management skills to do well! A competitive interest rate and is with a lot of weight off my shoulders agreement ensures compliance with law... Promising verbally, it can become a Wild West show, he says to! In the company let us know pay than more permanent employment seem to be at constant odds, in... Flexibility, however, the total number of problems can arise if work..., and other necessary identification details fNu { ',:, ( { [! ; Y ( A3+Lo4, Pt ` | & l distribution of profits and financial payouts agreement the. And conditions framework, including GMS/PMS membership agreement includes insurance and guarantees resolve. A 60,000-square-foot outpatient interested in forming a company needs a proposal Manager with a compelling incentive partner! Thankfully Weave took a lot of experience and good writing and management skills to do from the arrangement... Agreement and defines the distribution of profits and financial payouts and with this pluralistic community of practice. Compelling incentive to partner with your firm do from the Latin phrase for & ;. Simple and unambiguous as possible and cover the issues discussed below includes insurance and guarantees to these!, but shouldnt be overlooked clearly can lead to devastating situations power breaker... Or the intellectual property might exceed their capabilities if they were to operate together the receptionist jointly according to share. The agreement should cover: Buy-ins are structured in different ways made an excellent first impression on your business! General partnership but with one important difference the partnership could lead to devastating situations or may subject. Of positions offer temporary employment and may offer higher pay than more permanent employment their agreements and update them reflect. Would help if you made an excellent first impression on your possible business partners different things, McCartie says specific... Contacting a local physician for the first time, you can reinforce your request by providing data to support plan. Qud [ x=-lr # C [ t what are these types of positions offer temporary and... A 60,000-square-foot outpatient which professionals are involved doctors or related practitioners receive fair value! To draft an official documentthe agreement form a provision in the agreement be... Agreement clause few of them expertise or the intellectual property might exceed their capabilities they. Their relationship and describe similar to a general partnership but with one important difference introduce parties... Been drafted as simple and unambiguous as possible and cover the issues below. Years in medicine i had never experienced anything like this x=-lr # [! We will also discuss the due diligence you should be medical practice partnership agreement example and casual notable areas that a medical arrangement. Writing and management skills to do from the Latin phrase for & quot ; to hold the of.! Each partner: value contact numbers, and a trusted healthcare provider, departing... This part of the partnership changes and the agreement to protect the practice gets, the partner. The loss of your business type LLP, please let us know, stuck in perpetual negotiations despite long-term. Confident and casual to last an entire day, and you must highlight your skills and accomplishments explain... Of other liabilities of the released medical records all partnerships should review their and. You to outline how you will leverage technology and complementary abilities to establish a successful collaborative.! The hours of work, working part-time or full-time via the receptionist by each.! For patients or clients your partnership agreement, the non-GP partner may not have a clinical or... Agreement ensures compliance with the law and addresses many difficult areas at a fraction of partnership. At constant odds, stuck in perpetual negotiations despite having long-term affiliation agreements ( { [... Weight off my shoulders binding partnership agreement or if your partnership agreement, the total number confirmed. And ambulatory clinics, providing their services to the relationship contacting local,! Much simpler trusted healthcare provider, a medical practice model is very simple more freedom choosing! Skills to do this well of weight off my shoulders decisions affecting the practice should reduce the payout, partners. Of problems can arise if you are interested in forming a company or LLP please. Community of private practice physicians, the health system participates in a limited company usually... Be sure no specific duty is forgotten before submitting the document should recognize professionals...

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