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Request for Proposal Medical Services

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					This Request for Proposal (RFP) Medical Services notifies prospective medical service
companies that an organization is looking to obtain services. This document clearly
sets forth the requested information in a format that is easily tailored to the specific
needs of the user. Additionally, this Request for Proposal will ensure that companies
respond factually to the identified elements. This template form provides comments and
instructions to create a clear and concise RFP and contains opportunities to customize
specific terms.
                   REQUEST FOR PROPOSAL MEDICAL SERVICES

The ______________ [Instruction: insert name of party sending out RFP] (“Solicitor”) is
soliciting proposals from bidders to provide medical services for ______________ [Instruction:
insert name of organization that requires services] located in ______________ [Instruction:
insert city and state].

______________ [Five (5)] [Comment: These numbers are not provided for by law, but can
be any number the user chooses] copies of the proposal package must be submitted on or
before ______________ [Instruction: insert date and time]. They can be mailed to
____________________________ [Instruction: insert mailing location] or dropped off at
____________________________ [Instruction: insert address]. Proposals shall be sent in a
sealed envelope.

Inquiries pertaining to this solicitation should be directed to ______________ [Instruction:
insert name and position of person], who can be reached at ______________ [Instruction:
insert contact information].

1. Description of Project: ______________ [Instruction: insert a detailed description of the
   project, including details on the location, special considerations, governing regulations,
   etc.]

2. Range of Work: The work will include, at a minimum, the following elements:
   A. Perform physicals for potential employees and Fitness for Duty physicals and random
      alcohol and drug testing for current staff.
   B. The physical shall include an alcohol, drug and tuberculosis screen along with an
      examination which yields a medical examination card.
   C. The Fitness for Duty physical shall include an alcohol and drug screen along with an
      examination
   D. Every month ______________ [five (5)] [Comment: These numbers are not provided
      for by law, but can be any number the user chooses] employees are picked to
      participate in the program, with all chosen employees undergoing both an alcohol
      breathalyzer test and a drug screen.
   E. ______________ [Instruction: insert any additional elements of the work]

[Comment: user should edit the Range of Work to reflect the specific needs of the user]

3. Required Elements of Proposal: Each proposal is limited to ______________ [fifteen (15)]
   [Comment: These numbers are not provided for by law, but can be any number the user
   chooses] single-sided pages, and should present the development team qualifications for this
   project and shall identify the following:
    A. Format and instructions for preparing the proposal
    B. Cover/signature page
    C. Medical Qualifications
    D. Budget
    E. Licenses
    F. ______________ [Instruction: insert any additional proposal elements]

[Comment: For each element of the proposal, set forth the specific details that need to be
included]

4. Selection Criteria: Solicitor will analyze and rate the proposals pursuant to the following
   criteria:
    A. Soundness of Approach ______________ %[Instruction: insert corresponding
        weight given to this criterion]
    B. Demonstrated past performance ______________ %[Instruction: insert
        corresponding weight given to this criterion]
    C. Organizational Capacity ______________ %[Instruction: insert corresponding weight
        given to this criterion]
    D. Program design ______________ %[Instruction: insert corresponding weight given
        to this criterion]
    E. Qualifications of Individuals performing the service ______________ % [Instruction:
        insert corresponding weight given to this criterion]
    F. Budget Consideration ______________ %[Instruction: insert corresponding weight
        given to this criterion]

[Comment: user should edit this section to set forth the specific criteria that user will use]

    Following evaluation of the Proposals, the Solicitor will interview up to the
    ______________ [five (5)] [Comment: These numbers are not provided for by law, but
    can be any number the user chooses] of the prospective consultants to provide medical
    services.

5. Schedule: The Solicitor’s proposed schedule for consultant selection, subject to change, is as
   follows:
    A. Advertise for Proposals ______________ [Instruction: insert date].
    B. Pre-proposal meeting ______________ [Instruction: insert date and time].
    C. Deadline for Submittal of Proposals ______________ [Instruction: insert date and
        time]. Late proposals may or may not be considered.
    D. Preliminary Selection of Firms ______________ [Instruction: insert date].
    E. Notify Firms Chosen for Interviews (Solicitor Option) ______________ [Instruction:
        insert date].
    F. Interviews ______________ [Instruction: insert date].
    G. Final Selection ______________ [Instruction: insert date].
    H. Complete Contract Negotiations ______________ [Instruction: insert date].
    I. Execution of Agreement ______________ [Instruction: insert date].

6. Terms and Conditions: The Solicitor reserves the right to change the RFP process at any
   time. This solicitation does not obligate the Solicitor to reimburse respondents for any costs
   incurred in setting forth a proposal. This solicitation does not obligate the Solicitor to accept
   or contract for any expressed or implied services. Finally, the Solicitor reserves the right to
   award the contract to the next most qualified bidder if the selected bidder does not execute a

© Copyright 2013 Docstoc Inc.                                                                          3
    contract within ______________ [thirty (30)] [Comment: These numbers are not
    provided for by law, but can be any number the user chooses] days after the award of the
    proposal.




© Copyright 2013 Docstoc Inc.                                                              4
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Description: This Request for Proposal (RFP) Medical Services notifies prospective medical service companies that an organization is looking to obtain services. This document clearly sets forth the requested information in a format that is easily tailored to the specific needs of the user. Additionally, this Request for Proposal will ensure that companies respond factually to the identified elements. This template form provides comments and instructions to create a clear and concise RFP and contains opportunities to customize specific terms.