Dentist Independent Contractor Agreement Template

INDEPENDENT CONTRACTOR AGREEMENT (DENTAL SERVICES)

This Independent Contractor Agreement (the "Agreement") is entered into as of [___________] (the "Effective Date"), by and between:

PRACTICE: [________________________________________________] (“Practice”), with its principal place of business located at [________________________________________________].

DENTIST: [________________________________________________] (“Contractor”), a licensed dentist in the State of [___________], residing at [________________________________________________].

(Collectively referred to as the "Parties.")

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1. ENGAGEMENT AND SERVICES

The Practice hereby engages the Contractor, and the Contractor hereby accepts such engagement, to provide professional dental services (the "Services") at the Practice’s facility located at [________________________________________________]. The Contractor shall provide Services in accordance with the standards of the dental profession and all applicable state and federal laws.

2. INDEPENDENT CONTRACTOR STATUS

The Parties acknowledge and agree that the Contractor is an independent contractor and not an employee of the Practice. Nothing in this Agreement shall be construed to create a partnership, joint venture, agency, or employer-employee relationship. The Contractor shall be solely responsible for the payment of all federal, state, and local taxes, including self-employment taxes, and shall not be eligible for any employee benefits, including but not limited to health insurance, retirement plans, or paid leave.

3. COMPENSATION

In full consideration for the Services rendered, the Practice shall pay the Contractor as follows:

• Payment Basis: [e.g., Percentage of Net Production/Collections, Hourly Rate, or Daily Rate]
• Rate/Percentage: [___________]
• Payment Schedule: Payments shall be made on a [Monthly/Bi-Weekly] basis, payable on or before the [___________] day of the following month.

4. TERM AND TERMINATION

• Term: This Agreement shall commence on the Effective Date and shall continue for a period of [___________] months, unless terminated earlier as provided herein.
• Termination for Cause: Either party may terminate this Agreement immediately upon written notice in the event of a material breach of the terms of this Agreement or the loss of the Contractor’s dental license.
• Termination without Cause: Either party may terminate this Agreement by providing [___________] days’ prior written notice to the other party.

5. PROFESSIONAL STANDARDS AND LICENSING

The Contractor represents that they hold a valid, unrestricted license to practice dentistry in the State of [___________]. The Contractor agrees to maintain all necessary professional licenses, DEA registrations, and certifications throughout the term of this Agreement.

6. PROFESSIONAL LIABILITY INSURANCE

The Contractor shall maintain professional liability (malpractice) insurance with coverage limits of no less than [___________] per occurrence and [___________] in the aggregate. The Contractor shall provide the Practice with a Certificate of Insurance upon request.

7. CONFIDENTIALITY

The Contractor acknowledges that they will have access to confidential information regarding the Practice’s patients, business operations, and financial data. The Contractor agrees to maintain the strict confidentiality of such information and to comply with all HIPAA regulations and other applicable patient privacy laws.

8. INDEMNIFICATION

The Contractor agrees to indemnify, defend, and hold harmless the Practice from and against any and all claims, damages, liabilities, and expenses (including reasonable attorney’s fees) arising out of or related to the Contractor’s professional negligence or intentional misconduct in the performance of Services under this Agreement.

9. GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of [___________]. Any disputes arising under this Agreement shall be resolved in the courts located in [___________] County, [___________].

10. ENTIRE AGREEMENT

This Agreement constitutes the entire understanding between the Parties and supersedes all prior agreements, oral or written, regarding the subject matter hereof. No modification or amendment shall be valid unless in writing and signed by both Parties.

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SIGNATURES

IN WITNESS WHEREOF, the Parties have executed this Agreement as of the Effective Date first written above.

PRACTICE REPRESENTATIVE:

Signature: _________________________________ Date: [___________]

Printed Name: ______________________________ Title: [___________]

CONTRACTOR:

Signature: _________________________________ Date: [___________]

Printed Name: ______________________________ License Number: [___________]