Some people also refer to a contract as a service agreement. I know its a little difficult to copy from a pdf document.
Simply enter the details of your contract and youll soon have a legal document everyone can sign.
Physician service agreement template. D termination upon failure to cure a material breach. Services related to such programs in conjunction with hospital. A physician services agreement is a contract that establishes the terms of the engagement like responsibilities schedule salary and insurance.
This document created by correct care inc is a sample of an agreement for a physician to work with a health care services provider as an independent contractor. A physician assistant may provide medical services pursuant to more than one. And whereas each of hospital and physician group will continue to provide services to covered persons pursuant to its own hospital payor agreements and physician payor agreements respectively except as modified by the.
Medical group and physician further agree that they will not provide services under this agreement at any location other than the laboratory unless such location has obtained the appropriate california licensures and has been clia certified and that physician shall provide the services on a full time basis on behalf of neogenomics. More than one supervising physician may sign the delegation of services agreement only if each supervising physician has delegated the same medical services. The audio portion of the conference may be accessed via the telephone or by using your computers speakers.
Upon the death or disability as hereinafter defined of physician. Please refer to the instructions emailed to registrants for additional information. The contents expressed in this sample physician employment contract guide guide do not necessarily reflect the official position of the american ollege of physicians inc.
The delegation of services agreement is the name of the document which delegates the medical services. Physician shall provide covered services on an as needed basis within the scope of physicians licensing training experience and qualifications and consistent with accepted standards of medical practice and the applicable pho agreement. Below is the same sample medical billing contract text if you want to cut and paste in your own word processor document.
Create a free physician services agreement in minutes using our interview form. Heres an example medical billing contract in pdf form. Ap its officers directors employees agents and representatives and ap makes no representations warranties or assurances expressed or.
For purposes of this agreement disability shall be defined as physicians inability to perform the services required pursuant to this agreement for a period of nine 9 months out of any twelve 12 month period. Physician shall be paid pursuant to a fee schedule as.
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