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MOU Christian Adoption Services PDF

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ContracGrant Agreement Checkiést ru for snl beep hn 2 Hew caer gl mel ene he Heiden es gate Te fe soul onplee bythe pega seprerorchica. minagralabaked Ee cureciat ace te su oracle Dies Spinone the CS apron an artless sia Cover shea snaleal by: She Cs nse Ses BT __ Eros vogion = Borge ‘riot Rail (Fy a a Bow secot [7] Cone Agromert vite Curtin Adagtin Services Summary of ServicinL tiny, ism fat cave Date of Guana Agreement 2A/ET th ABIL nani Sur 89 Typoot emit Agresioit ——Toely Rat, Doo 2 sed Monte A Rae Nese near io ersved SANQ5 oman inca. al cast Pax the gannns vicning Superior Resin: ryan Dice sr Division Dinter Sig yr ot Finis Psa conghiley aioe al RE CEIVE rr oS aus 16 200 Page ECONOMIC ASSISTANCE Memorandum of Agreement ‘This Agreemart is entered between Christian Adoption Services (Agency Provider), ‘The Village Femily Service Center antl the North Dakota Depariment af Hur Services (NODHS), NODHS is respansible for supervision of te Altematives to Alecrtion Program. The Millage Family Service Center will adnrnisler the Alterallves lo Abortion Prograir ricluding marseting, updating and raaintain'ny w lst of secvice providers. making aymants to sarvice providers anc 1-800 service. “The program will provide positive outcome-based information, counseling, end support servioas with the follawing requirements aad expectations: 1. Provide serviogs fo pregnant women ar women who believe they may be pregnant, who reside in North Dakota, 2. Promate childbirth though infounaticn, counesting and sducation fo assist pregnant women ta choose childbirth 3, Assiet women In making infarmed decisions about adoption or parenting wth respect to the oni ‘Avernatlves to Abortion services do not srclude rnecical suivices, The Agency Provider dasires to provide Aleinativas ‘¢ Abortion services consistent with the requirements 2f the Altematives to Atortons Program and to meet the requirements SFN.D.C.G. § 50-08-26 air this Agraement. The Agsney Previder agrees to 4. Serasn each potential cle believes she may be pregnant; 2. Snform each client trat i és her right to secure Alternatives to Aborticns services from a provider cf those services fisled ia the Alternatives to Abortions brochure; 43. Assist NODS and The Vilage Family Seruce Center In gathering data lo evaluate the Alternerives to Abaslions Program trom the clent's frst wi through birth of the child, 4, Keep confidential the communications between a child and provider or ks employees and agents, except as permitted by law or by the informed agreement of the cliant; 5, Submit to NDDIS and The Village Farniy Service Center a aupy of prov car's ability insurance policy for approval before requesting payment, and 6, Meintain approved Fabilty coverage ln eect af all imes services are being provided under this Agreemert ‘establish that she is progrant or reasonably Agency Provider agrees no! to: + Counset for, refer lot, encourege aborttans, Aterratives le Azorlis cfant tp arather person ra sing counseling [or referral for. erccuragen= § ar abostian: of 2, Giseimina'e against Altersatives to Akotors ctonl er: Ihe basis uf raigion, 3 religious belie. @ refuse ie hold a ralgicts bade", of a tahisal Ip acvvely pariopele in a sebgious practice oF kuesanghy refer an soy lar thes urpese ot of the perfarmance of Provider for Sltamalives to Abortions services sill ‘eceive «eisrbursement for serv'ees provided based on a sate of $10.00 for each quatler hour of serace furnished by a nataber of the clergy, a nurse fecased uraler N.D.C © oh, 43-12.1, a physiciae Foensad under N-O.C.C. 0%. 43-17, apsycholog al lisanoed vnder N D.C.C. ch. Add. & boclai worve’ Hoaagad und N.P.C.C. ch. 43-41. an edchclion courseior licensed under ND2C. ch. 43-28, a counsslacflognced under ND.C.O ch 2-47, or a naviage ane lamiy therapial Fnensed uncles N02 G.ch 42-53: and ew vale of $5.00 for each querter hour af service lumnished by any afer incindual “This Agrecmestis effective July 2017 and remains r.eltact unt ure 20, 2018. unless Ienninaced by the Agency Provider, The Vilage Farry Service Center or KDDHE ‘This Agreement may be terra nated at ary lin'e By emutitzi consent nf pares, 1" UIn0m a-days' wien notice by eke" parly. vith ar wikoul cause Fare by ne Agency Pravidor te perform the lerins of fhis Agreement may rescIl i the immed ete termation ol the Ageeement. Agency Provider: __Chvistian Adoplien Sgnvives signaros: (CE sf. Tie fhe Mire i The Village Farmly Service Centar —. Ai se _. vate _ ghd. Big Vake, PraldeniOES The Vilage Fantly Serve Center 6, Gaval Carlledye, Direstor Economic Assisiaace Policy Division North Cekota Degariment of Human Services

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