SATVA MEMBERSHIP FORM

(Company-specific information for questions #3-7 is kept confidential by SATVA staff and not shared with SATVA members)

1. Company
   Name		   (filling in this field will serve as your digital signature)
2. Contact Information
Contact Name   
Position Title  
Address 1  
Address 2  
Phone  
Fax  
E-Mail  
Website Address  
3. Company Revenue Category (data to be kept confidential by SATVA staff and used only for determining applicant company’s dues)
Less than $2 million  
Between $2 million and $5 million  
Over $5 million up to $15 million  
Over $15 million up to $50 million  
4. Preferred Payment
Single payment   
Three installments ($200 charge)  
5. Size of Installed Base (company-specific data to be kept confidential by SATVA staff and used only in aggregate for SATVA public relations)
Number of Customer Organizations Served  
Number of Users Served  
6 Types of Systems Served (check all that may apply):  
(company-specific data to be kept confidential by SATVA staff and used only in aggregate for SATVA public relations)
Mental Health    MR/DD  
Substance Abuse   Other (please explain)
General Health    
Child Welfare    
7 Types of Organizations Served (check all that may apply): 
(company-specific data to be kept confidential by SATVA staff and used only in aggregate for SATVA public relations)
Behavioral Group Practices   State Mental Health Agencies 
Community Mental Health Centers   Other (please explain)
Hospitals     
Managed Care Organizations    
County Mental Health Agencies      

Questions?  Call SATVA at 646-233-0167 or email at info@jaffemanagement.com

Membership Agreement Form

Name of member company  

ACKNOWLEDGEMENT:  As a SATVA member, I acknowledge the obligations of my company to remain current at all times with all dues payments.  Moreover, I hereby acknowledge that my company shall be bound by the Articles of Incorporation and the Bylaws of SATVA.

Name of signer  
Position title within member company  
Signature   (filling in this field will serve as your digital signature)
Date   (mm/dd/yyyy)
  

The SATVA Members Guidelines for Business Practice
Introduction
SATVA is an open and accessible trade organization for vendors of behavioral health and human services software and information technology. Its members have a genuine concern for the welfare of the behavioral health and human services industry, and are devoted to:

  • promoting the use of effective information technology in behavioral health and human services
  • helping to formulate and support quality improvement for the highest industry standards
  • facilitating the delivery of more efficient and effective consumer services through use of information technology

The Association is committed to raising the profile of the technology profession within the behavioral health and human services industry and to promoting the highest standards for practice, products, and conduct of its members. SATVA member companies share a common goal to improve the information infrastructure with which their customers can deliver more efficient and effective services to their consumers and their community. Toward these ends, SATVA members endorse the following Guidelines for Business Practice.

SATVA Members’ Business Guidelines
The SATVA membership comprises a wide variety of business models, products, and philosophies. As such, there can be no comprehensive set of guidelines which would completely pertain to all members. Therefore, the principles set forth below are intended to establish the platform on which each SATVA member can model their business practices for customer and competitive relationships. Any suspected breach should first be addressed CEO to CEO between the member companies./  SATVA members are required to:

  • Represent their products, services and credentials accurately in proposals and demonstrations
  • Negotiate contracts in good faith
  • Attempt to respond to customers’ questions and concerns in a reasonable and timely manner
  • Treat customers and competitors fairly and with respect
  • Safeguard the confidentiality of customer and consumer information
  • Disclose any conflicts of interest
  • Conduct activities in a manner that reflects favorably on the profession
  • Discuss these Guidelines with their employees, especially all sales employees
  • Append these Guidelines to their RFP responses

These Guidelines were approved in March 2003 by the general membership and by vote of the Board of Directors except for the last two principles which were added and approved by the SATVA Board of Directors in June 2003.  At that time the Board also voted that all SATVA member companies should sign the Guidelines indicating their approval.  Please sign below.

I have reviewed and approve these Guidelines.

Name   (filling in this field will serve as your digital signature)
Position Title  
Company Name  
Date   (mm/dd/yyyy)
   

 

 

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