Memorandum of Understanding Between Clinical Laboratory of New Civil Hospital Surat, Gujarat(**Reference Laboratory**) and Clinical Laboratory of XYZ Hospital of ABC City/Town (**Second Laboratory**)

Following is Memorandum of Understanding Between Reference Laboratory and Second Laboratory

  1. No monetary transactions will occur between the two labs. However, the laboratory sending the samples will bear the cost of transportation and necessary TA/DA if applicable from QIP/RKS Grants
  2. Both clinical laboratories will exchange samples with each other, for at least 2 times a year. However frequency can be increased as per requirements of both laboratories.
  3. Samples may be sent from reference laboratory or vice versa.
  4. Period between sending samples can vary depending on availability for samples with results around clinical decision intervals
  5. Tests to be performed in samples will be decided at the time of sending samples, in consultation with both laboratory in-charges, depending on scope and need from time to time
  6. The MOU will continue till one of the laboratory cancels it after giving 6 months of notice to the other laboratory
  7. The results obtained shall be compared statistically and for guidance follwing the most current edition of CLSI document EP9 - Measurement Procedure Comparison and Bias Estimation Using Patient Samples

Contact Information (Reference Laboratory)
Partner name:
Partner representative:
Position:
Address:
Telephone:
E-mail:

Contact Information (Second Laboratory)
Partner name:
Partner representative:
Position:
Address:
Telephone:
E-mail:

Date:
(Reference laboratory Partner signature)

Date:
(Second laboratory Partner signature)