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                                                                    EXHIBIT 3.84

                                FISCHERMANGOLD
                       A California General Partnership

      The undersigned, Herschel Fischer, MD, an individual ("Fischer"), and Karl
G. Mangold, M.D., an individual ("Mangold"), hereby confirm the following:

      1. Fischer and Mangold have been associated as general partners
(individually, a "Partner" and collectively, the "Partners") in the general
partnership named FischerMangold, a California general partnership (the
"Partnership"), under the California Uniform General Partnership Act, as amended
(the "Act"), since January 1, 1971 and the Partnership shall continue until
December 31, 2010, unless earlier terminated in accordance with the Act and this
agreement.

      2. The Partners respective percentage interests in the profits, losses,
other taxable items and cash distributions of the Partnership are: sixty percent
(60%) for Mangold and forty percent (40%) for Fischer.

      3. The Partnership's purpose is to manage and staff certain emergency and
clinic health care facilities.

      4. The Partnership's principal place of business shall be at the address
set forth above.

      5. Each Partner shall be separately authorized to take any and all actions
on behalf of the Partnership, provided that any Partnership action which
obligates the Partnership to pay or incur an obligation of $100,000 or more
shall be approved by both Partners.

      6. The Partnership shall not be dissolved by the withdrawal, admission or
substitution of a Partner.

      7. This Agreement shall be dated as of January 1, 1996.

/s/ Herschel Fischer                      /s/ Karl G. Mangold
________________________                  ________________________
HERSCHEL FISCHER                          KARL G. MANGOLD
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                                 FISCHERMANGOLD
                        A California General Partnership

      The undersigned, Herschel Fischer. Inc., a California corporation
("Fischer, Inc."), and Karl G. Mangold, Inc., a California corporation
("Mangold, Inc."), hereby confirm the following:

      1. Herschel Fischer, an individual ("H. Fischer"), and Karl G. Mangold, an
individual ("K. Mangold"), have been associated as general partners
(individually, a "Partner" and collectively, the "Partners") in the general
partnership named FischerMangold, a California general partnership (the
"Partnership"), under the California Uniform General Partnership Act, as amended
(the "Act"), since January 1, 1971, pursuant to their partnership agreement as
reflected in that certain Agreement dated for reference purposes as of January
1, 1996.

      2. Pursuant to the Assignment dated as of February 15, 1997, K. Mangold
assigned all of his interest in the Partnership to Mangold, Inc. with the intent
that Mangold, Inc. be a substituted general partner for K. Mangold, and pursuant
to the Assignment dated as of February 20, 1997, H. Fischer assigned all of his
interest in the Partnership to Fischer, Inc. with the intent that Fischer, Inc.
be a substituted general partner for H. Fischer.

      3. Fischer, Inc. and Mangold, Inc. hereby acknowledge their respective
substitutions as Partners of the Partnership and agree that the Partnership was
not dissolved by such substitutions and that the Partnership shall continue
until December 31, 2010, unless less earlier terminated in accordance with the
Act and this agreement.

      4. The Partners respective percentage interests in the profits, losses,
other taxable items and cash distributions of the Partnership are: sixty percent
(60%) for Mangold, Inc. and forty percent (40%) for Fischer, Inc.

      5. The Partnership's purpose is to manage and staff certain emergency and
clinic health care facilities.

      6. The Partnership's principal place of business shall be at the address
set forth above.

      7. Each Partner shall be separately authorized to take any and all actions
on behalf of the Partnership, provided that any Partnership action which
obligates the Partnership to pay or incur an obligation of $100,000 or more
shall be approved by both Partners.

      8. The Partnership shall not be dissolved by the withdrawal, admission or
substitution of a Partner.


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      9. This agreement shall be dated as of February 21, 1996.

HERSCHEL FISCHER, INC.                    KARL G. MANGOLD, INC.,
a California corporation                  a California corporation

By: /s/ Herschel Fischer                  By: /s/ Karl G. Mangold
   _____________________                     ______________________
      Herschel Fischer,                         Karl G. Mangold,
      President                                 President


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