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This template is an example of a letter you may send to your provider relations department to request an amendment to your agreement. This amendment allows you to offer items to your patient that may be enhanced or luxury items that could cost more than the traditional fee allowed for the item, per your agreement. NOTE: Once you click on the resource, look for the document in your downloads or taskbar. Unlike a PDF, these will not open up on your desktop.

Template Letter-Amend Provider Agreement to Use S1001