Medical Independent Contractor Agreement Template

INDEPENDENT CONTRACTOR AGREEMENT (MEDICAL SERVICES)

This Independent Contractor Agreement (the “Agreement”) is made and entered into as of this ______ day of ________, 20 (the “Effective Date”), by and between:

PRACTICE/FACILITY: ____________________________________, a [State] [Entity Type, e.g., Professional Corporation], with its principal place of business located at __________________________________________________ (the “Company”),

AND

CONTRACTOR: ____________________________________, an individual/entity with a principal address located at __________________________________________________ (the “Contractor”).

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1. SERVICES

The Company hereby engages the Contractor, and the Contractor hereby accepts such engagement, to provide professional medical services as a ________________________ (the “Services”) at the Company’s facilities or such other locations as may be mutually agreed upon. The Contractor shall perform the Services in accordance with the standards of the medical profession and all applicable federal, state, and local laws.

2. TERM AND TERMINATION

This Agreement shall commence on the Effective Date and shall continue for a period of ______ years, unless terminated earlier. Either party may terminate this Agreement without cause upon ______ days’ prior written notice. The Company may terminate this Agreement immediately for “Cause,” which shall include, but is not limited to, the Contractor’s loss of licensure, malpractice, breach of contract, or criminal conduct.

3. COMPENSATION

As full consideration for the Services rendered, the Company shall pay the Contractor as follows:

• Base Rate: $____________ per [hour/day/procedure].
• Payment Schedule: Payments shall be made [weekly/bi-weekly/monthly] within ______ days of receipt of a valid invoice.
• Expenses: Any pre-approved, out-of-pocket expenses shall be reimbursed in accordance with Company policy.

4. INDEPENDENT CONTRACTOR STATUS

The parties agree that the Contractor is an independent contractor and not an employee, partner, or agent of the Company. The Contractor shall be solely responsible for the payment of all federal, state, and local taxes, and the Company will not withhold any taxes or provide any employee benefits (including health insurance or retirement plans).

5. LICENSURE AND CREDENTIALING

The Contractor represents that they possess all necessary licenses, permits, and certifications required to perform the Services in the State of ________________. The Contractor agrees to maintain such credentials in good standing throughout the term of this Agreement and shall notify the Company immediately of any suspension, revocation, or restriction thereof.

6. MALPRACTICE INSURANCE

The Contractor shall maintain, at their own expense, professional liability (malpractice) insurance with limits of not less than $____________ per occurrence and $____________ in the aggregate. The Contractor shall provide a Certificate of Insurance to the Company upon request.

7. CONFIDENTIALITY

The Contractor acknowledges that they may have access to confidential information, including but not limited to Protected Health Information (PHI) under HIPAA. The Contractor agrees to maintain the strict confidentiality of all such information and to comply with all applicable privacy regulations.

8. INDEMNIFICATION

The Contractor agrees to indemnify, defend, and hold harmless the Company, its directors, officers, and employees from and against any and all claims, damages, liabilities, and expenses arising out of the Contractor’s acts, omissions, or performance of the 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 hereunder shall be subject to the exclusive jurisdiction of the courts located in ________________ County, ________________.

10. ENTIRE AGREEMENT

This Agreement constitutes the entire understanding between the parties and supersedes all prior discussions, agreements, or understandings, whether written or oral. No amendment to this Agreement shall be effective unless in writing and signed by both parties.

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IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first above written.

COMPANY:

Signature: ___________________________ Name: _______________________________ Title: ________________________________ Date: ________________________________

CONTRACTOR:

Signature: ___________________________ Name: _______________________________ Title: ________________________________ Date: ________________________________