Joint Provider Agreement
UpScale Education, LLC and the company listed below hereby enter into this Joint Program Provider Agreement to provide quality
continuing dental education (CDE) for professionals. All courses will be listed and stored under the listed companies UpScale
Education company account. Verification of the continuing education hours (CE) earned by attendees of this program will be
documented by UpScale Education, LLC. It will be the responsibility of the company listed below to have their attendees verify
within 30 days of the completion of the course so UpScale Education, LLC can submit verification of CE earned by any Academy of
General Dentistry (AGD) members in attendance to the AGD so that these members can earn FAGD/MAGD credit in the AGD. The
company listed below agrees to abide by all AGD PACE guidelines and agree to confirm all statements on the Joint Provider Preapproval checklist.
Terms of Agreement
The term of the Agreement will begin on the signed date and will end 365 days thereafter. All references in this Agreement to the
duration of the agreement shall mean the term of the Agreement. The duration of the Agreement shall expire upon the
termination of this Agreement.
Responsibilities
UpScale Education, LLC and the company listed below, jointly create, produce, and execute the programs listed on UpScale
Education, LLC for 365 from the signed date of this agreement
Identification
All marketing materials and attendance verification forms shall include the following statement:
This activity has been planned and implemented in accordance with the standards of the Academy of General Dentistry Program
Approval for Continuing Education (PACE) through the joint program provider approval of UpScale Education, LLC and {the
listed company below}. UpScale Education, LLC is approved for awarding FAGD/MAGD credit. PROVIDER ID#-/1/2022 - 12/31/2022
Termination
By Mutual Agreement – Notwithstanding any other provision, the Agreement may be terminated, altered, amended, or
extended at any time by the mutual written agreement of the parties.
For Cause –either party may terminate the Agreement by written notice to the other party for any cause, which must be stated
in the notice.
Release – Termination of the Agreement shall not release any party from the payment of any sum then owing to the other
party.
Entire Agreement
This Agreement constitutes the entire agreement of the parties with respect to the joint program and supersedes all prior
agreements, arrangement and communications among the parties concerning the joint program, whether oral or written.
IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by duly authorized representatives as of the last
date signed below.
UpScale Education, LLC
ORGANIZATION/COMPANY NAME: ____________________________
Date:
Date: __________________________________________________
Co-Founders
Name:_________________________________________________
Sarah Clark & Erika Spring
Signature: ______________________________________________