HomeMy WebLinkAboutMINUTES - 12042012 - C.75RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract
#74–407-2 with Daniel Forkin, M.D., a self-employed individual, in an amount not to exceed $145,600 to provide
professional outpatient psychiatric services, for the period from October 1, 2012 through September 30, 2013.
FISCAL IMPACT:
This Contract is funded 100% by Mental Health Realignment, offset by third-party billing.
(No rate increase)
BACKGROUND:
On September 27, 2011, the Board of Supervisors approved Contract #74-407-1 with Daniel Forkin, M.D, for the
period from October 1, 2011 through September 30, 2012 for the provision of professional outpatient psychiatric
services for adults in West Contra Costa County.
Approval of Contract #74-407-2 will allow Contractor to continue providing services through September 30, 2013.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD
COMMITTEE
Action of Board On: 12/04/2012 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYES 5 NOES ____
ABSENT ____ ABSTAIN ____
RECUSE ____
Contact: Cynthia Belon, 957-5201
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of
the Board of Supervisors on the date shown.
ATTESTED: December 4, 2012
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: Carrie Del Bonta, Deputy
cc: D Morgan, D Gary
C. 75
To:Board of Supervisors
From:William Walker, M.D.
Date:December 4, 2012
Contra
Costa
County
Subject:Approval of Contract #74–407-2 with Daniel Forkin, M.D.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, County’s clients will not have access to Contractor’s professional outpatient
psychiatric services.
CHILDREN'S IMPACT STATEMENT:
Not Applicable