Specifications include, but are not limited to: Provide services as detailed in 1 through 19 . Services should be provided onsite at the applicable DOC facility. The Provider shall submit an accounting of hours worked each week to the facility’s Health Authority. The accounting of hours shall include a breakdown of hours worked on site. The Provider shall prepare an invoice and bill the Department for the hours actually worked, up to the required total. Services provided in less than full hour increments shall be invoiced and paid in one-tenth of an hour increments. Lunch breaks shall be unpaid, and time taken must be deducted from the total week hours. If hours per month reach the negotiated amount for the applicable facility and additional hours of service are required, the specific number of additional hours must be approved in writing by the facility’s Health Authority before services are provided or the Provider will not be paid for said hours. If service hours exceed the negotiated per week hours, any additional hours of service shall be approved in advance by the facility’s Health Authority and shall be paid at the negotiated rate. Provide examinations. 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 specialists when necessary. Use on-site office space provided by the facility during scheduled visits. Utilize the services of Health Services personnel employed by the facility. Provide additional visits to the facility in the event of emergency illness or injury. Provide emergency medical services in doctor's office or hospital. Provide employee health services which are required by the Department (e.g. employee physicals, emergencies). Provide a monthly schedule, in advance, to the facility’s Health Authority.