The contract, signed by each party, is sent by the director of the establishment to which the doctor is assigned to the director general of the regional health agency, together with his opinion, that of the head of the department and that of the chairman of the establishment’s medical committee and, in the event of private practice being shared between two establishments, the opinions of the director, the head of the department and the chairman of the medical committee of the second establishment. The deadline for approval is set at two months from receipt of the contract by the Director General of the Regional Health Agency. On expiry of this period, the contract is deemed to have been approved if the Director General of the Regional Health Agency has not made his opposition known.
The contract may, with the agreement of the parties, be revised before its expiry date. The revision and renewal of the contract are subject to the same consultation and approval procedure as the initial contract.
If the contract is renewed, it must be signed by the parties and sent to the Director General of the Regional Health Agency, together with the opinions mentioned in the first paragraph, at least three months before the expiry date of the previous contract. Approval is deemed to have been granted if, within two months of receipt of the application, the Director General of the Regional Health Agency has not made known his opposition to the renewal.