Letter of Intent Example for Nursing

LETTER OF INTENT: NURSING SERVICES ENGAGEMENT

Document Control:

• Effective Date: [DD/MM/YYYY]
• Version: 1.0
• Jurisdiction: [State/Province/Region]
• Scope: Professional Nursing Services / Independent Contracting

1. LEGAL NOTICE & DISCLAIMER

LEGAL NOTICE: This document is a non-binding Letter of Intent (LOI) intended to outline the preliminary terms of a professional nursing services engagement. This document does not constitute a final employment or independent contractor agreement. All parties acknowledge that specific terms regarding compensation, liability, and scope of practice are subject to the execution of a definitive written agreement. Compliance with local nursing board regulations, HIPAA/PIPEDA, and facility-specific credentialing is the sole responsibility of the Provider. Consult legal counsel before execution.

2. IDENTIFICATION OF PARTIES

• Facility/Client: [Legal Name of Facility/Agency], located at [Facility Address] (hereinafter "Client").
• Provider: [Full Legal Name of Nurse], holding License # [License Number] in the jurisdiction of [Jurisdiction], located at [Provider Address] (hereinafter "Provider").

3. OPERATIVE CLAUSES & TERMS

1. Scope of Services: Provider shall deliver nursing services, including but not limited to [Insert Specific Clinical Duties, e.g., Patient Triage, Medication Administration, Wound Care], in accordance with the standards of practice set by the Board of Nursing.
2. Credentialing & Compliance: Provider warrants that they maintain an active, unencumbered nursing license, current BLS/ACLS/PALS certifications, and professional liability insurance with minimum coverage limits of [$ Amount]. Proof of credentials shall be provided to Client prior to the start of clinical duties.
3. Compensation Structure: Client shall compensate Provider at a rate of [$ Amount] per [Hour/Shift/Procedure]. Payment shall be issued on a [Weekly/Bi-Weekly] basis, subject to verification of hours worked via [Method of Timekeeping].
4. Term & Termination: This intent is valid from [Start Date] to [End Date]. Either party may terminate this preliminary arrangement with [Number] days' written notice, provided that all patient handovers are completed in accordance with ethical standards.
5. Confidentiality: Provider agrees to maintain the strict confidentiality of all Protected Health Information (PHI) and proprietary facility information in accordance with HIPAA and applicable data protection regulations.
6. Independent Status: Nothing in this document shall be construed to create an employer-employee relationship; the Provider is engaged as an independent practitioner, responsible for their own tax withholdings.

4. EXECUTION & ACKNOWLEDGMENT

For the Provider: Signature: __________________________ Date: [Date] Printed Name: [Full Legal Name]

For the Client: Signature: __________________________ Date: [Date] Printed Name/Title: [Name and Title of Authorized Signatory]

5. STEP-BY-STEP EXECUTION GUIDE

• Step 1: Credential Verification: The Client’s HR or Medical Staff Office must verify the Provider's license status against the state’s official nursing board database and archive a certified copy of the Provider’s current liability insurance policy.
• Step 2: Legal Review: Both parties should have this LOI reviewed by legal counsel, specifically to ensure that the "Independent Contractor" classification aligns with local labor department criteria to avoid tax misclassification risks.
• Step 3: Formalizing the Definitive Agreement: Use this document as the framework to populate a comprehensive "Professional Services Agreement," which should include detailed Indemnification, Intellectual Property, and Dispute Resolution (Arbitration) clauses.
• Step 4: Execution: Both parties must sign and date two (2) original copies, exchanging one for each party’s permanent records. No clinical services should commence until the definitive agreement is fully executed.