Educational Affiliation Agreements

AHC Agreements

Inter-University Affiliation Agreements

Contract Title Number
Inter-University Program Affiliation Agreement - For Use by AHC Programs (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC277A

Observer Agreements

Contract Title Number
Observer Agreement - Medical School - Students and Other Non-faculty (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC227
Observer Agreement - Medical School - Visiting Physicians and Faculty (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC226
Observer Agreement - School of Dentistry-Students & Other Non-Faculty Observers (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC241

Single Program Affiliation Agreements

Contract Title Number
Affiliation Agreement - Dental Hygiene (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC228
Affiliation Agreement - Genetic Counseling (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC240
Affiliation Agreement - Institutional Medical School Residents/Fellows (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC201A
Affiliation Agreement - Institutional School of Dentistry Residents/Fellows (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC201B
Affiliation Agreement - Institutional Students Single Program - AHC Programs (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC203A
Affiliation Agreement - Medical Laboratory Sciences (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC239
Affiliation Agreement - Minnesota Lions Eye Bank (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC264
Affiliation Agreement - Mortuary Science (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC223
Affiliation Agreement - Nursing (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC229
Affiliation Agreement - Nursing PSA (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC222
Affiliation Agreement - Occupational Therapy (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC230
Affiliation Agreement - Pharmacy (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC231
Affiliation Agreement - Pharmacy Shared Faculty - University Employee (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC202
Affiliation Agreement - Physical Therapy (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC232
Affiliation Agreement - Physical Therapy and Occupational Therapy (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC285
Affiliation Agreement - Postgraduate Pharmacy Residency-Affiliate Employee (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC201G
Affiliation Agreement - Postgraduate Pharmacy Residency-University Employee (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC201F
Affiliation Agreement - RPAP (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC279
Affiliation Agreement - SPH-Dual Degree DVM-MPH (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC282
Affiliation Agreement - SPH-HPM (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC275
Affiliation Agreement - Veterinary Medicine (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC233
Annual Financial Addendum - Affiliation Agreement - Pharmacy Shared Faculty - University Employee (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-202AFA

Visiting Students/Residents/Fellows Affiliation Agreements

Contract Title Number
Affiliation Agreement - Visiting Resident (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC272
Reverse Affiliation Agreement (zip)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC271

Other AHC Agreements

Contract Title Number
Non-Solicitation and Confidentiality Information Agreement - Veterinary Medicine (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC262

Graduate Resident/Fellow Appt Agreements

Contract Title Number
Amendment to GME Residency / Fellowship Agreement (docx)
Primary Contact: Heather Woeste
Owner: Kaley Klanica
OGC-SC200AMD
Amendment to GME Residency/Fellowship Agreement - Military (docx)
Primary Contact: Heather Woeste
Owner: Kaley Klanica
OGC-SC200M-AMD
Dental Fellowship Agreement: Oral and Maxillofacial Surgical Oncology (docx)
Primary Contact: Joel Heuschele
Owner: Kaley Klanica
OGC-SC280
Dental Residency Agreement (docx)
Primary Contact: Joel Heuschele
Owner: Kaley Klanica
OGC-SC200C
Dental Residency Agreement Advanced Education Program in Pediatric Dentistry (docx)
Primary Contact: Joel Heuschele
Owner: Kaley Klanica
OGC-SC249
Dental Residency Agreement: OMFS (docx)
Primary Contact: Chelsey Favretto
Owner: Kaley Klanica
OGC-SC287
Residency/Fellowship - Faculty/GME Trainee Agreement (docx)
Primary Contact: Heather Woeste
Owner: Kaley Klanica
OGC-SC200FAC
Residency/Fellowship Agreement - Duluth Family Medicine Program (docx)
Primary Contact: Heather Woeste
Owner: Kaley Klanica
OGC-SC200D
Residency/Fellowship Agreement - Methodist Hospital Program (docx)
Primary Contact: Heather Woeste
Owner: Kaley Klanica
OGC-SC200A
Residency/Fellowship Agreement - St. Cloud Hospital Program (docx)
Primary Contact: Heather Woeste
Owner: Kaley Klanica
OGC-SC200B
Residency/Fellowship Agreement - TRIA Sports Medicine (docx)
Primary Contact: Heather Woeste
Owner: Kaley Klanica
OGC-SC200TRIA
Residency/Fellowship Agreement Forensic Psychiatry Fellowship (docx)
Primary Contact: Heather Woeste
Owner: Kaley Klanica
OGC-SC200F
Residency/Fellowship Agreement Instructor/GME Trainee (docx)
Primary Contact: Heather Woeste
Owner: Kaley Klanica
OGC-SC200INSTR
Residency/Fellowship Agreement Military Sponsored Residents/Fellows (docx)
Primary Contact: Heather Woeste
Owner: Kaley Klanica
OGC-SC200M
Residency/Fellowship Agreement Program (docx)
Primary Contact: Heather Woeste
Owner: Kaley Klanica
OGC-SC200

Non-AHC Affiliation Agreements

Contract Title Number
Affiliation Agreement - Institutional Student-Employees Single Program - Non-AHC Programs (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC203P
Affiliation Agreement - Institutional Students Single Program -Non- AHC Programs (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC203B
Affiliation Agreement - Kinesiology (doc)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC261
Affiliation Agreement - School of Social Work (doc)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC274
Affiliation Agreement - UMC Dietetics Program (doc)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC224
Inter-University Program Affiliation Agreement - For Use by Non-AHC Programs (doc)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC277B
Observer Agreement - Speech-Language-Hearing Sciences Observer Agreement (docx)
Primary Contact: Laurel Luxenberg
Owner: Laurel Luxenberg
OGC-SC281