Letter of Intent Sample for Nurses

LETTER OF INTENT: CLINICAL NURSING SERVICES

Document Control

• Effective Date: [Date]
• Version: 1.0
• Jurisdiction: [State/Province]
• Scope: Professional Nursing Services Engagement

LEGAL DISCLAIMER

This Letter of Intent ("LOI") is intended to serve as a non-binding framework for the negotiation of a definitive Professional Services Agreement. Except for the clauses titled "Confidentiality," "Non-Solicitation," and "Governing Law," this document does not constitute a binding legal commitment. All clinical services rendered must comply with the [Relevant Nursing Board/Regulatory Body] standards and all applicable healthcare regulations (e.g., HIPAA, HITECH).

1. PARTIES

This LOI is entered into by and between:

• The Facility: [Full Legal Name of Healthcare Facility], with its principal place of business at [Address] ("Facility").
• The Practitioner: [Full Legal Name of Nurse], [License Type: RN/LPN/NP], License #[Number], residing at [Address] ("Practitioner").

2. SCOPE OF SERVICES

The Practitioner shall provide nursing services, including but not limited to: [List Core Duties: e.g., patient assessment, medication administration, post-operative care]. The Practitioner agrees to adhere to the Facility’s clinical protocols and emergency procedures.

3. COMPENSATION & BILLING

• Rate: $[Amount] per [Hour/Shift/Procedure].
• Payment Terms: Invoices shall be submitted [Weekly/Bi-weekly], payable within [Number] days of receipt by the Facility.
• Status: The Practitioner shall act as an [Independent Contractor / W-2 Employee] for the duration of this engagement.

4. TERM AND TERMINATION

• Term: This engagement shall commence on [Start Date] and continue until [End Date] unless terminated earlier.
• Termination for Cause: Either party may terminate this agreement immediately upon written notice in the event of a material breach, licensure revocation, or gross professional misconduct.
• Termination for Convenience: Either party may terminate this engagement with [Number] days’ written notice.

5. CONFIDENTIALITY

The Practitioner acknowledges that during the term, they will have access to Protected Health Information (PHI). The Practitioner agrees to maintain strict confidentiality in compliance with HIPAA and the Facility’s privacy policies. This obligation survives the termination of this LOI.

6. REPRESENTATIONS & WARRANTIES

The Practitioner warrants that they hold a valid, unencumbered professional license, maintain current malpractice insurance in the amount of $[Amount], and have no pending disciplinary actions by any licensing board.

7. GOVERNING LAW

This LOI shall be governed by and construed in accordance with the laws of the State of [State], without regard to its conflict of law principles.

EXECUTION BLOCK

FOR THE FACILITY: Signature: __________________________ Printed Name: _______________________ Title: ______________________________ Date: _______________________________

FOR THE PRACTITIONER: Signature: __________________________ Printed Name: _______________________ Title: ______________________________ Date: _______________________________

EXECUTION AND ENFORCEMENT GUIDE

1. Verification of Credentials: Prior to execution, the Facility must perform Primary Source Verification (PSV) of the Practitioner's license and verify the existence of active professional liability insurance.
2. Definitive Agreement: This LOI acts as a "bridge" document. Counsel should use the terms established herein to draft a comprehensive "Professional Services Agreement" (PSA) within 30 days to outline specific indemnity, liability limits, and dispute resolution mechanisms.
3. Compliance Filing: Ensure the signed document is uploaded to the facility’s credentialing software or human resources database to satisfy internal auditing requirements under JCAHO or relevant oversight bodies.
4. Bilateral Signature: Ensure both parties provide full legal signatures; digital signatures (e.g., DocuSign) are generally acceptable provided they meet eIDAS or ESIGN Act standards for intent and authentication.