Clinical Affiliation Agreements

Minnesota State legal counsel has negotiated memorandum of agreement (MOA) templates for specific health care organizations.  Samples of these negotiated MOA templates can be found below.  Please remember that the MOA’s found on this website are to be used for reference and comparison purposes only.

The standard Minnesota State clinical MOA template can be found on the Minnesota State Forms and Contract Templates page.

If you receive a MOA from a facility and they indicate there is a negotiated template, please review what has been sent to you with the corresponding MOA found on this website.  By directly comparing the two documents, you can help to ensure that your college or university has received the most up to date MOA as approved for use by Minnesota State legal counsel.  Many of the facilities prefer to send the proposed MOA to the campus and not have the campus send a standard Minnesota State clinical template.  If an organization uses a cover letter, a “sample” cover letter is also included below for your review and comparison.  If you have any questions, please contact the Office of General Counsel.

• AEGIS Therapies, Inc. 3-Party (06/16/2016)   
• Allina Health System (Approved by Minnesota Attorney General’s Office on 05/07/2013)
• Avera Health (12.28.2018)
• Bemidji Area Indian Health Service (05/03/2017)
• Catholic Health Initiatives with cover letter (04/2015)
• CentraCare Health No Faculty On-Site Agreement (01/21/2022)
• Children’s Health Care D/B/A Children’s Hospital and Clinics of Minnesota (06/2020)
• DaVita Dakota Dialysis Center, LLC D/B/A Fargo ND Dialysis Center (08/25/2014)

• Department of Veterans Affairs (U.S.)-The system legal counsel is in negotiation to update a new agreement. The 2017 VA-US contract template as found in the footer, should not be used. Please ask the VA for its most recent version of the contract and then contact OGC or AGO for assistance. 

• Department of Veterans Affairs (State of Minnesota 01/2019)
• Essentia Health (01/20/2022)
• Evangelical Lutheran Good Samaritan Society (02/2022)
• Fairview Health Services with cover letter (02/2022)
• HealthPartners (01/17/2023)
• Hennepin County Medical Center (02/2023)
• Hy-Vee Inc.- Pharmacy Technician and Other Allied Health Programs- Non-Nursing (06/2019) contact OGC for Template
• Mayo Clinic Ambulance Service, Inc. (formerly known as Gold Cross Ambulance) (04/2019)
• Mayo Clinic (Rochester) and Mayo Clinic Health System Sites- Nursing Rotations (Recurring) (2/17/2021)
• Mayo Clinic (Rochester)- Non-Nursing Rotations (Recurring) (05/2019)
• Mayo Clinic Health System- Non-Nursing Rotations to Sites Other Than Rochester (Recurring) (2/17/2021)
• Mayo Clinic (Rochester)- Non-Nursing Rotation for Individual Student (1/22/16)
• Mayo Clinic Health System Site- Non-Nursing Rotation for Individual Student (1/22/16)
• North Memorial Health Care (01/2021)
• Sanford Health (09/01/2021)
• Shriners Hospitals for Children (05/25/18)
• St. Croix Regional Medical Center (05/2019)
• St. Lukes Hospital of Duluth (05/17/2023)
• State of Minnesota Department of Human Services (02/2024)
• University of Minnesota Physicians (06/12/2015)
• University of Minnesota Clinics and Surgery Center (05/2017)

Please remember that the MOA’s found on this page are samples and are to be used for reference and comparison purposes only.  If what you received from the facility is different from what is on this website contact the Office of General Counsel.

Notice:  The purpose of this site is to provide general information only and nothing on this site should be construed as legal advice.  The information provided on this site is not intended to alter or amend official Minnesota State policy or procedure.