Specifications include, but are not limited to: The Provider should: Provide services as detailed in 1 through 19. Services should be provided onsite at the applicable DOC facility as negotiated. Provide examinations, PEG placements, PEG changes, hemorrhoid ligations, infusions, paracenteses, biopsies, and similar services. Record a summary of the problems and/or symptoms, the diagnosis or diagnostic hypotheses, treatments, medications, and/or any other appropriate information in each patient's medical chart at the conclusion of every consultation. Adhere to the Formulary established by the Department and/or clinically justify variances. Consult with the Department’s Office of Health Services regarding care of inmates on an as required basis. Immediately notify the Department if license or hospital privileges are denied, suspended or revoked; if any malpractice claims are filed; if any professional disciplinary action is taken; or if he/she has any physical, mental or emotional problems which might impact performance of assigned duties. Make referrals to other specialists when necessary.