Fill and Sign the Assistant Agreement Form

Physician’s Assistant Employment Agreement Employment Agreement made on the _________________ (date) , between _________________________ (Name of Employee) of _______________________________ __________________________________________________ (street address, city, state, zip code) , referred to herein as Employee , and _________________________ (Name of Employer) , a professional corporation organized and existing under the laws of the state of ___________________, with its principal office located at ______________________________ ____________________________________________________ (street address, city, county, state, zip code) , referred to herein as Employer . Whereas, Employee is a physician’s assistant duly licensed in __________________ (state) ; and Whereas, Employer desires to employ Employee and Employee desires to accept employment as a physician’s assistant of Employer ; and Whereas, the board of directors of Employer has offered Employee employment for the compensation and other benefits and subject to the terms and conditions set forth in this Agreement, and Employee is willing to accept employment on such terms; Now, therefore, for and in consideration of the mutual covenants contained in this Agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: 1. Employment and Duties A. Scope of Duties. Employer employs Employee , and Employee accepts employment, to render such services and duties as a physician’s assistant as Employer shall assign. Employer shall determine the assignment of patients to Employee , and Employee must perform services for all patients assigned to Employee. The power to supervise the duties to be performed, the manner of performing such duties, and the terms for performance of such duties shall be exercised by the Board of Directors of Employer. Hours of employment shall be determined by Employer within reasonable standards for the profession. B. Exclusive Service. Employee shall devote his/her full working time and attention to the practice of Employer. C. Professional standards. Employee shall perform his/her duties under this Agreement in accordance with the rules of ethics of the medical profession. 2. Records and Files All case records, charts, and personal files concerning patients of Employer shall be and remain the property of Employer. On termination of Employee's employment, Employee shall not be entitled to keep or reproduce Employer's records or charts related to any patient. 3. Fees All fees and compensation received or realized as a result of the rendition of professional medical services by Employee shall belong to and be paid and delivered to Employer. 4. Term The term of this Agreement shall begin on ___________________ (date) , and shall continue until terminated as provided below in this Agreement. 5. Compensation In consideration of all services rendered under this Agreement, from and after the date of this Agreement, Employee shall receive a base salary of $____________ per hour, payable on the first day of each (e.g., month) _________________ . 6. Office Facilities Employer shall operate and maintain facilities suitable to Employee's position and adequate for the performance of Employee's duties. 7. Vacation Employee shall be entitled to a paid annual vacation of [e.g., (number) weeks] _________________ . Vacation time may not be accumulated without Employer's consent, and must be taken in the year earned. Employee's vacation will be scheduled at times most convenient to Employer's medical practice as determined by its Board of Directors. 8. Termination for Cause This contract shall be terminated immediately: A. If Employee becomes disqualified to practice as a physician’s assistant in ______________ (state) ; B. If Employee accepts other employment that places restrictions or limitations on his/her continued rendering of medical services as a physician’s assistant; C. On the death of Employee ; D. If Employer and Employee mutually so agree in writing; E. If Employee becomes disabled and the disability continues for a period of ______consecutive months or more; or F. If, in the opinion of Employer , Employee fails or refuses to perform faithfully or diligently the duties of his/ her employment or any of Employee's obligations under this Agreement. On termination for any reason, Employee shall be entitled to the salary due Employee to the date of such termination. Payment of said amount shall be full compensation for all claims under this Agreement. 9. Termination without Cause Employer may terminate Employee's employment at any time and for any or no reason ( i.e., without cause) by providing Employee with ______ (number) days prior written notice, which notice Employer can waive, in whole or in part, in its sole discretion, by paying Employee for such time; provided, however, Employer may terminate Employee's employment immediately for the reasons set forth in Paragraph 8 above. 10. Confidentiality Employee acknowledges that during his/her employment, he/she shall have access to and will become aware of confidential information concerning patients and the Employer. Employee agrees to hold in confidence all information disclosed to or received by him/her in connection with his/her employment 11. No Waiver The failure of either party to this Agreement to insist upon the performance of any of the terms and conditions of this Agreement, or the waiver of any breach of any of the terms and conditions of this Agreement, shall not be construed as subsequently waiving any such terms and conditions, but the same shall continue and remain in full force and effect as if no such forbearance or waiver had occurred. 12. Governing Law This Agreement shall be governed by, construed, and enforced in accordance with the laws of the State of ______________. 13. Notices Any notice provided for or concerning this Agreement shall be in writing and shall be deemed sufficiently given when sent by certified or registered mail if sent to the respective address of each party as set forth at the beginning of this Agreement. 14. Mandatory Arbitration Any dispute under this Agreement shall be required to be resolved by binding arbitration of the parties hereto. If the parties cannot agree on an arbitrator, each party shall select one arbitrator and both arbitrators shall then select a third. The third arbitrator so selected shall arbitrate said dispute. The arbitration shall be governed by the rules of the American Arbitration Association then in force and effect. 15. Entire Agreement This Agreement shall constitute the entire agreement between the parties and any prior understanding or representation of any kind preceding the date of this Agreement shall not be binding upon either party except to the extent incorporated in this Agreement. 16. Modification of Agreement Any modification of this Agreement or additional obligation assumed by either party in connection with this Agreement shall be binding only if placed in writing and signed by each party or an authorized representative of each party. 17. Assignment of Rights The rights of each party under this Agreement are personal to that party and may not be assigned or transferred to any other person, firm, corporation, or other entity without the prior, express, and written consent of the other party. WITNESS our signatures as of the day and date first above stated. _________________________ (Name of Employer) By:_______________________________________________________ __________________________ (Printed Name) (Printed Name & Signature ______________________________ ___________________________ (Signature of Employee) (Office in Corporation)