Physician Services Agreement

A Physician Services Agreement is a document used by two parties when a medical facility or practice, also known as a healthcare center, would like to hire an independent healthcare provider to render medical services to patients that they are referred by the healthcare center. This Agreement allows the physician and the healthcare center to outline the scope of their relationship and describe the specific medical services that will be provided, as well as any of the physician's other responsibilities while working for the healthcare center.

This document should be used for healthcare centers that wish to bring on a physician to work for them as a contractor without hiring them as a full-time employee. This is common in situations where a healthcare center needs a particular sort of medical specialist who will provide very specific services to patients or consultations to other doctors at the practice. This sort of Agreement is also common when a physician has their own private practice but also works at a healthcare center on the side. For more information about the difference between an independent contractor relationship and an employment relationship, please see the guide What's the Difference Between an Employee and an Independent Contractor?.

Often, individuals enter into business relationships without having all of the details of the parties' relationship with each other written down. By discussing the specifics of the Agreement ahead of time, both the physician and the healthcare provider can make sure that their needs and wishes about the business relationship are known and honored.

This agreement is specifically for the provision of medical services to a healthcare center. This website also has a general purpose service agreement that can be used for someone providing a different kind of service.

How to use this document

This document covers all of the important information necessary for a physician that provides medical services to enter into a business relationship with a healthcare center looking to work with an independent physician, including the following details:

• Pertinent identifying information for all involved parties
• Specifics of the services provided, including the type(s) of services that will take place such as seeing patients in person, providing consultations, and prescribing medication
• Description of where the physician received their license to practice medicine
• Amount of compensation the physician will receive, including any possible late fees
• Details about when and how the Agreement will be terminated and whether the physician will be barred from competing with the healthcare center by offering similar services or hiring the center's current employees for a period of time after this Agreement is terminated
• Adherence to confidentiality and warranty provisions guaranteeing the quality of the physician's work

The physician and the healthcare center can discuss the terms of the Agreement and create and sign the final Agreement prior to the work actually beginning. This Agreement can also be created after the work has already begun for the purpose of clarifying and formalizing the relationship between the parties and describing the responsibilities of all involved parties.

After inputting the required information, this Agreement is printed out and signed by both Parties, and then kept on file by both parties for the duration of the Agreement as well as for a reasonable period of time thereafter.

Applicable law

All Service Agreements are subject to both federal and state laws that cover general contract principles governing how contracts are created and interpreted by courts. Federal laws may restrict what services can be contracted for (for example, illegal services may not be contracted for) and certain broad categories, like contracting for something that looks more like an employment relationship, but individual state laws may govern the interpretation of the contract in case of a dispute. There are also individual state laws controlling what a physician must do to receive and maintain their license to practice medicine, such as passing specific board examinations or completing continuing education courses.

How to modify the template

You fill out a form. The document is created before your eyes as you respond to the questions.

At the end, you receive it in Word and PDF formats. You can modify it and reuse it.