Physician professional services agreement template
WHEREAS , the Healthcare Center desires to hire the Physician as a staff physician to render medical, educational, scientific, administrative, and other professional services; and. WHEREAS , the Physician is licensed by the Medical Board of the State of Alabama and possesses a current valid license to practice medicine and is not currently on probation or suspension for any reason.
The Healthcare Center hereby agrees to engage the Physician to provide the Healthcare Center with the following services the "Services" :. The Healthcare Center shall refer patients to the Physician to receive in-person, face-to-face consultations.
The Physician shall be responsible for prescribing medication to patients if, and only if, necessary and appropriate. The Physician agrees to accept patient referrals and to devote such time and effort as is generally required in the field and perform the tasks and duties related to serving patients in a manner consistent with the practice of the Physician's profession in medicine. The Physician will not treat patients that they are not qualified to treat and shall refer such patients to emergency, specialist, or other appropriate personal care.
The Physician shall establish a valid patient-physician relationship with each patient pursuant to all applicable local, state, and federal laws, regulations, and professional standards. The Physician is currently a licensed physician in Alabama. The Physician acknowledges that both Physician's licenses and privileges to engage in the practice of medicine and prescribe medication are in good standing with both the Federal Government of the United States of America and the state in which the Physician is licensed to practice medicine.
The Physician shall remain fully licensed to practice medicine in compliance with applicable law during the term of this Agreement and shall immediately notify the Healthcare Center in writing if such is no longer true.
The term of this Agreement shall commence on the Effective Date and shall continue in full force and effect as described by this Agreement. If either Party materially defaults in the performance of any provision of this Agreement, and such default is not cured within 30 days after the non-defaulting Party gives the defaulting Party written notice of such default, then the non-defaulting Party shall be entitled to terminate the Agreement immediately upon written notice of termination of the defaulting Party.
Upon termination of this Agreement, neither Party shall have any further rights, duties, nor obligations, under this Agreement, except as otherwise provided herein. The termination or expiration shall not affect any liability or other obligation of either Party that accrued prior to the termination or expiration.
Any compensation owed to the Physician for services rendered in periods prior to termination shall remain payable to the Physician, unless the Physician is in breach hereof, in which case the Healthcare Center shall be entitled to withhold any unpaid compensation until the breach is resolved.
Upon the termination of this Agreement, the Physician shall take all reasonable steps necessary for the prompt and efficient transfer of patients under the Physician's care to other supervising physicians hired by the Healthcare Center. For a period of 30 days after the effective date of termination, the Physician shall continue to take such actions as are reasonably necessary to ensure that patients under supervision continue to receive effective professional care.
Upon termination of this Agreement, the Physician acknowledges and agrees that they shall not engage, directly or indirectly, as proprietor, partner, officer, employee or otherwise, in the same or similar activities as were performed for the Healthcare Center in any business within the same city as the Healthcare Center's business for the maximum allowable period under Alabama law after the termination of this Agreement.
The Physician is also prohibited from hiring or attempting to hire any of the Healthcare Center's other employees or staff.
The Physician shall also be prohibited from soliciting any business from current patients of the Healthcare Center for a period of six months. The Healthcare Center may terminate this Agreement by written notice to the Physician upon the occurrence of any of the following, with the Physician immediately notifying the Healthcare Center in writing should any such event take place:.
The revocation, suspension, or cancellation of the Physician's professional license;. The imposition of any restriction or limitation on the Physician by any governmental authority having jurisdiction over the Physician to the extent that the Physician cannot render the required professional services;. A final determination by any board, or other organization having jurisdiction over the Physician's right to practice that the Physician has engaged in unprofessional or unethical conduct;.
Basic Medical Services Template 4. Clinical Medical Services Agreement Template 5. Onepage Healthcare Services Agreement Template 6. Modern Medical Billing Services Agreement 7. General Medical Services Contract Template 8. Sample Medical Services Agreement Template 9. Simple Medical Service Agreement Healthcare Services Agreement Template more 5 Steps to Write a Medical Service Agreement Step 1: Use a Formal Contract Structure While there are no specific standards, it is advisable to draw up a medical service agreement just like any other formal contract.
State all the points in lucid language, and use articles to divide the agreement into sections for easier understanding. Step 2: Specify the Exact Kind of Care to Be Given This usually constitutes a whole section of the agreement, and is a critical part as it defines exactly what the service provider is entitled to do for the patient. Though the hospital employs the doctors, the preparation structure is retained, and the practice contracts along with the hospital for management services.
Consultant Professional Services Agreement ci. This has been used for a lot of purposes of enlisting various things that the owner of the space to be simply constructed and also the construction firm that is to do the project have agreed upon. All of these things are included in the sample service level agreement templates. You may also see Sample Contract Templates.
In addition to that, the agreement contains the extraordinary legal and financial statements too. You should be sure to provide a final copy of the fully signed contract to the health care provider. Hiring a lawyer to comment on your document may take a long time if you attempt to do it alone.
An alternate approach could be to request help from the On Call network. Rocket Lawyer members are able to request a contract review from an On Call attorney with experience in business or get answers to additional legal questions.
How It Works Create your document Answer a few simple questions to make your document in minutes. Making a Physician Services Agreement. What is a Physician Services Agreement? You might decide that you want to make this document due to the fact that, when made properly, it can present these benefits: The duration of the engagement is agreed upon The physician and health care provider both understand the scope of their responsibilities Everyone knows when payments are due Some unfavorable outcomes from not having this document in place include confusion on timing, incomplete payments, incorrect assumptions, and other potential concerns.
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