Letter of Intent Sample for Doctors

LETTER OF INTENT: MEDICAL PRACTICE ACQUISITION / AFFILIATION

Document ID: TR-8842-MD-LOI
Effective Date: [____/____/2026]

Instructions for Use

• Completion: This document is to be completed by the authorized representative of the Acquiring Entity and the Physician/Practice Principal. All bracketed fields must be populated.
• Filing/Retention: Maintain a fully executed digital and physical copy within the corporate legal archives for a minimum of seven (7) years post-termination of any resulting definitive agreement.
• Mandatory Attachments: Ensure the following are appended: (a) Schedule of Assets/Equipment, (b) Current Financial Statement of Practice, and (c) Physician’s Disclosure of Existing Restrictive Covenants.

1. PARTIES

Acquiring Entity: [__________] ("Purchaser")
Target Practice: [__________] ("Target")
Primary Physician(s): [__________] ("Physician")

2. TRANSACTION STRUCTURE

The parties intend to enter into a definitive agreement for: [ ] Asset Acquisition
[ ] Equity Purchase
[ ] Professional Services Agreement
[ ] Other: [__________]

3. FINANCIAL CONSIDERATIONS

• Purchase Price: [__________] USD
• Payment Terms:
  • Initial Deposit: [__________] USD
  • Closing Payment: [__________] USD
  • Earn-out Provisions: [__________]

4. OPERATIONAL TRANSITION

• Closing Date: [__________] (MM/DD/YYYY)
• Transition Period: [__________] months post-closing.
• Personnel Retention: Purchaser intends to retain the following key staff: [__________]

5. NON-BINDING NATURE & EXCLUSIVITY

Except for the sections titled "Exclusivity," "Confidentiality," and "Governing Law," this Letter of Intent is intended solely as an expression of interest and does not create a binding legal obligation. The Target agrees to an exclusivity period of [__________] days from the Effective Date, during which it shall not solicit or negotiate with other parties.

6. CONFIDENTIALITY

The parties agree to hold all proprietary, financial, and patient data (subject to HIPAA compliance) in strict confidence and shall not disclose the existence of these negotiations to third parties without prior written consent.

7. GOVERNING LAW

This document shall be governed by the laws of the State of [__________]. Any disputes arising from this LOI shall be resolved via binding arbitration in [__________].

EXECUTION & SIGNATURE BLOCK

FOR THE PURCHASER:

Signature: ______________________________
Printed Name: [__________]
Title: [__________]
Date: [____/____/2026]

FOR THE TARGET/PHYSICIAN:

Signature: ______________________________
Printed Name: [__________]
Title: [__________]
Date: [____/____/2026]

Disclaimer: This document is provided as a standardized framework. Consult qualified legal counsel for jurisdiction-specific statutory compliance.