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Letters of Agreement are formal documents that outline the terms and responsibilities established between two facilities for external coordination. These agreements are essential for ensuring clear communication and understanding regarding operational procedures, responsibilities, and protocols that must be followed. They serve as a framework for collaboration and help in minimizing misunderstandings or miscommunications between the facilities involved.

Policies, while important for setting general guidelines and procedures, do not specifically address the individual arrangements between distinct facilities. Operational Manuals contain standard operating procedures but typically pertain to internal guidelines rather than coordination between external entities. Notices serve to inform of changes or updates but do not establish a formal coordination structure like Letters of Agreement do. Thus, the use of Letters of Agreement is crucial for effective external coordination between facilities.