Note/Disclaimer: prepared to regulate emergency transport processes of private healthcare institutions under the coordination of 112 Emergency Medical Services a sample . It should be adapted according to the practices of the relevant provincial directorate, current legislation, and the status of the parties (administrative/private legal entity).

1. PARTIES

1.1. Administration: ………………… Provincial Health Directorate (hereinafter referred to as “Provincial Health Directorate” or “Administration”)
Address: ……………………………………………………………………………

1.2. Private Healthcare Institution: A licensed institution (Private Hospital / Private Medical Center / Private Specialty Center / Private Polyclinic) (hereinafter referred to as “ÖSK”) in accordance with the relevant legislation.
Address: ……………………………………………………………………………

The parties will be referred to collectively as "the Parties".

2. BASIS AND LEGAL NATURE

2.1. This Agreement of the Ministry of Health , the Regulation on Ambulances and Emergency Medical Vehicles and Ambulance Services, the Basic Law on Health Services, the Working Procedures and Principles of Provincial Ambulance Services , and other relevant legislation.

2.2. The legal nature of the contract a service contract or an administrative contract/protocol . The parties shall also regulate the applicable judicial remedy Article 21in

3. DEFINITIONS

3.1. 112 KKM: Provincial Ambulance Service Command and Control Center.
3.2. Emergency Transfer: of a patient to an inpatient treatment facility Urgent transfer
3.3. Inpatient Treatment Facility: Public/private hospitals and other inpatient healthcare facilities authorized by legislation.
3.4. Case Record Form (CRF): All clinical and operational records, including ambulance case form/epicrisis and electronic records.
3.5. Consumables: Disposable medical supplies, medications, and disposable materials for transport equipment.
3.6. SLA (Service Level Indicators): Performance metrics such as response times, delivery rates, appropriate routing, and data completeness.

4. SUBJECT AND SCOPE OF THE AGREEMENT

4.1. urgent transport of patients who apply to the Emergency Medical Services and require the provincial borders of … suitable inpatient treatment facilities coordinated by 112 Emergency Call Center, for the transfer Emergency Ambulance The provision of

4.2. This service only the primary care facility to an inpatient treatment institution. Transfers to private residences, nursing homes, and outpatient diagnostic/treatment centers are excluded.

4.3. If no available beds are found within the province, or if the 112 Emergency Call Center deems it appropriate for medical/logistical reasons a referral to another province may be made; procedures and costs shall be applied in accordance with Article 11 and Annex-1.

5. EXECUTION OF THE SERVICE

5.1. Call and Activation: The Emergency Medical Service (EMS) calls 112 (112 Emergency Call Center); the call an authorized person/physician , and the preliminary diagnosis, vital signs, and interventions performed are reported.
5.2. Triage and Referral: The institution to which the patient will be transferred the 112 Emergency Call Center is determined by
5.3. Companion: With medical necessity and the approval of the 112 Emergency Call Center, one companion may be accepted.
5.4. Delivery: Upon patient admission, medical history/epicrisis and medication/drug list are delivered completely.
5.5. Call Cancellation/Rejection: Calls that have lost their emergency nature, are found to be incorrect/misleading, or do not meet the patient transfer criteria cancelled (Article 15).

6. VEHICLE, EQUIPMENT AND MAINTENANCE

6.1. The ambulances used the type, equipment, and minimum material list must comply with
6.2. Periodic maintenance, calibration , and sterilization records are kept regularly and presented during inspections.
6.3. The backup vehicle/team plan the Provincial Health Directorate is implemented in coordination with

7. PERSONNEL QUALIFICATIONS AND WORKING PROCEDURES

7.1. Ambulance personnel the certificates and competencies must possess
7.2. The team leader acts according to medical priorities in case management; physician independence and ethical principles are adhered to.
7.3. Personnel lists, certificates, and refresher training Appendix 3are tracked in

8. MEDICAL SUPPLIES, DRUG AND WASTE MANAGEMENT

8.1. Medical supplies and medications are provided by the Emergency Medical Services Directorate (ÖSK); consumption and stock records are kept.
8.2. Medical waste the Medical Waste Control Legislation and the rules of the local administration.
8.3. a cold chain Storage and record-keeping responsibilities for products requiring

9. RECORDING, REPORTING AND QUALITY

9.1. patient report/epicrisis is prepared for each case; real-time/post-delivery data sharing is ensured with the 112 Emergency Call Center.
9.2. Records are kept for the period stipulated in the legislation.
9.3. SLA Indicators: (i) Initial contact → activation time, (ii) arrival time at the address, (iii) file completeness, (iv) false call rate, (v) patient delivery time, etc. metrics Appendix 6.are defined in
9.4. The Provincial Health Directorate audits and request improvements.

10. PRIVACY, GDPR AND DATA PROCESSING

10.1. Law No. 6698 Data and special legislation regarding health data Personal/data security .
10.2. Data processing/transfer be limited to the purpose, minimum dataand secure storage ; technical/administrative measures must be taken.
10.3. OSK personnel a confidentiality agreement sign the Data Processing Undertaking Appendix 4is included in

11. PRICING AND PAYMENT

11.1. whether the patient is transported or monthly …… TLof , into the account number … of the Health and Social Assistance Foundation at … Bank … Branch .
11.2. The deposit slipof each month later than the 5th no the 112 Emergency Assistance and Rescue Services Branch Directoratemust be submitted to
11.3. The fee the following year for the Turkish Statistical Institute (TÜİK) CPI (or an index agreed upon by the Parties) rate.
11.4. delay , a default interest of ……… rate will be applied.
such as out-of-province referrals, multiple accompaniments, and special supplies/medications Exceptional expenses Appendix 1 Price Tariffmay be billed separately according to

12. INSTRUCTIONS AND AUTHORITY

12.1. 112 personnel and field teams medical/operational instructions onlyfrom the 112 Emergency Call Center. The to give direct instructions .
12.2. The destination institution and route the 112 Emergency Call Center .

13. AUDIT AND NON-CONFORMITY MANAGEMENT

13.1. The Provincial Health Directorate on-site/remote inspections of records, equipment, personnel qualifications, and SLA performance.
13.2. non-conformity In case of a written warning will be issued; … days if not rectified within penalties (Article 15) and/or termination (Article 18) may be applied.

14. LIABILITIES AND INSURANCE

14.1. The parties are liable for damages arising from their personnel and activities in proportion to their fault .
14.2. Compulsory Motor Vehicle Liability Insurance, Compulsory Passenger Personal Accident Insurance, Employer's Liability Insurance and other appropriate liability/professional liability insurances shall remain in effect.
14.3. Coverage for damages that may be caused to third parties clearly stated in the policies; copies of the policies annually .

15. IMPROPER/FALSE CALLS AND PENALTY CLAUSES

15.1. Calls that do not meet emergency criteria, intentionally provide false/misleading information, or are repeated knowingly "irregular calls" .
15.2. … TL per call A penalty of months, within times if repeated may be terminated for just cause.
any waste of public resources and damages arising from intent/negligence Service Commission .

16. OCCUPATIONAL HEALTH AND SAFETY

No. 6331 the Occupational Health and Safety Law and related legislation conduct risk assessments, prepare personal protective equipment (PPE), training , and emergency plansdevelop

17. FORCE MAJEURE

force majeure events such as natural disasters, war, mobilization, general strikes, widespread epidemics, large-scale public order events, etc., are documented The obligations of the parties suspended .
17.2. … days If the force majeure event exceeds

18. TERMINATION

18.1. Either party … months with written notice, to terminate the contract .
18.2. Immediate termination for just cause is possible in the following cases:
(a) Failure to remedy violations of legislation,
(b) … days Violation of payment obligations exceeding
unauthorized calls Repeated,
(d) GDPR/privacy of audits Obstruction.

19. DURATION OF THE AGREEMENT

19.1. This agreement on the date of signature enters into force … years unless terminated … years for periods of it shall be automatically extended (optional).

20. TRANSFER, SUBCONTRACTORS AND REFERENCES

20.1. Contractual rights and obligations the prior written approval of the Provincial Health Directorate ; the use of subcontractors is prohibited/subject to the written approval of the Administration (selected according to the party).
20.2. In case of changes in legislation, Article 22 .

21. RESOLUTION OF DISPUTES (ALTERNATIVE JUDICIAL REMEDIES)

Option A – Judicial Jurisdiction: In disputes arising from this contract , the Enforcement Offices and Courts of … shall have jurisdiction; Turkish Law shall apply.
Option B – Administrative Jurisdiction: the contract to be of an administrative nature in resolving disputes the Administrative Courts of … .

when the contract is finalized a single option .

22. AMENDMENT AND INTEGRITY

to be published by the Ministry of Health/Administration new contracts/circulars The relevant articles automatically .
22.2. Other changes the written agreement shall become valid with
22.3. This Agreement and its annexes (Annex-1 … Annex-6) a whole constitute

23. NOTIFICATIONS AND COMMUNICATION

23.1. Notifications made to the addresses of the parties specified in the title valid notifications ; … days notifications made to the old address shall be valid unless a change of address is notified in writing within
23.2. Operational communication channels and the emergency contact list Appendix 5are included in

24. EFFECTIVE DATE

24.1. This Agreement …/…/20… was signed on

25. SIGNATURES

It was prepared in duplicate, with one copy given to each party.

PROVINCIAL HEALTH DIRECTORATE
Name/Surname – Title – Signature – Stamp
Date: …/…/20…

PRIVATE HEALTH INSTITUTION (PHI)
Responsible Manager – Title – Signature – Stamp
Date: …/…/20…

APPENDICES

• Appendix 1: Pricing and Special Expense Items Schedule
• Appendix 2: Ambulance Type, Equipment and Minimum Material List
• Appendix 3: Staff List, Certificates and Training Schedule
• Appendix 4: KVKK – Data Processing and Privacy Commitment
• Appendix 5: Operational Communication, Calling and Escalation Procedure
• Appendix 6: Service Level Indicators (SLAs) and Reporting Formats

Appendix 6: Sample SLA Metrics (Guide)

• Response Time (Within the city): of calls from activation to arrival at the address ≤ 15 minutes.
• File Completeness: of VKF/epicrisis records 98%are complete.
• False/Illegal Call Rate: ≤ 2% (monthly).
• Patient Transfer Time: admission process from arrival at the appropriate hospital is ≤ 15 minutes.
• Resolution of audit irregularities: ≤ 15 days.