Accepting the AXA Health* dual operator specialist agreement

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(Your Provider number is your initials, followed by five numbers. You’ll find it in the reference of any recent communications from AXA Health.)

Please read the following documents. By clicking the ‘Submit’ button below you confirm you have read and accepted the Specialist Agreement and Terms of Recognition and agree to abide by the AXA Health fee-approved Schedule of Procedures and Fees.

Specialist Agreement

Terms of Recognition

Fee-approved Schedule of Procedures and Fees

By entering your details and clicking ‘submit’ You agree to keep all Confidential Information in connection with your services as a recognised specialist, as defined in the Agreement, strictly confidential and You agree to not disclose the details of the Confidential Information to any third party except by prior written consent of AXA Health or where the Confidential Information has become publicly available through no fault of your own. You may only disclose the Confidential Information to your personnel who are directly involved in the administration of the fees and who need to know the information and You shall ensure that such personnel are aware of and shall comply with the confidentiality requirements in the Agreement.

*AXA Health is a trading name of AXA PPP healthcare Limited, a company registered in England and Wales under company number 03148119.