Business AMFT Document

BUSINESS AMFT DOCUMENT

Parties and Recitals

This Agreement is entered into by and between Business Name: , with principal place of business at (hereafter "Business"), and Associate Marriage and Family Therapist: , License/Registration No.: (hereafter "AMFT").

WHEREAS, Business operates a clinical practice or program that requires qualified clinical services and seeks to engage AMFT to provide clinical services on the terms set forth herein; and

WHEREAS, AMFT represents that AMFT holds the qualifications, registrations and insurance required by law and that AMFT will provide services as an independent contractor under the supervision and in accordance with applicable licensing and board requirements; and

WHEREAS, the parties desire to set forth their respective rights and obligations with respect to the provision of professional services pursuant to this Agreement effective as of .

Scope of Work

AMFT shall deliver professional mental health services consistent with the standards of practice for Associate Marriage and Family Therapists, including assessment, psychotherapy, case documentation and collaboration with supervisory personnel. Specific duties, locations, hours and deliverables shall be described below.

Payment Terms

Business shall compensate AMFT for services performed under this Agreement in accordance with the schedule below. All fees shall be invoiced by AMFT and paid by Business in the manner and within the periods specified.

Term and Termination

Term: This Agreement shall commence on and shall continue until unless earlier terminated in accordance with this Section.

Either party may terminate this Agreement for any reason upon providing written notice to the other party at least days prior to the intended termination date. Business may immediately suspend or terminate this Agreement for cause upon a material breach by AMFT, unprofessional conduct, failure to maintain required licensure or insurance, or conduct that creates a risk to clients.

Confidentiality and Client Records

AMFT shall maintain the confidentiality of client information in accordance with applicable professional standards and law. Client records created by AMFT while performing services under this Agreement are the property of and shall be maintained for a minimum of years after the last date of service, unless otherwise required by law.

Notwithstanding the foregoing, confidentiality shall not apply to disclosures required by law, including mandatory reporting of child abuse, elder abuse, dependent adult abuse, or as otherwise required by a court or regulatory authority.

Supervision, Compliance and Insurance

AMFT shall practice under the supervision required by applicable law. Supervisor Name: , Supervisor Contact:

AMFT is engaged as an independent contractor. AMFT is solely responsible for withholding and paying all applicable taxes and contributions, and Business shall not withhold, provide benefits, or treat AMFT as an employee for any purpose.

Indemnification

Each party shall indemnify, defend and hold harmless the other party from and against any claims, liabilities, damages and expenses (including reasonable attorneys' fees) arising from the indemnifying party's negligence, willful misconduct, or breach of this Agreement, provided that the indemnified party gives prompt written notice of any claim and cooperates in the defense.

Governing Law and Dispute Resolution

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to that state's choice-of-law provisions. The parties agree that any dispute arising under this Agreement shall first be submitted to non-binding mediation prior to filing any litigation, except where injunctive relief is necessary.

Entire Agreement; Amendments

This Agreement contains the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings, whether written or oral. No modification, amendment or waiver shall be effective unless in writing and signed by both parties.

Notices

Any notice required or permitted under this Agreement shall be in writing and delivered to the addresses set forth below or to such other address as either party may specify in writing.

Miscellaneous Provisions

If any provision of this Agreement is held unenforceable, the remaining provisions shall remain in full force and effect. The waiver of any breach shall not constitute a waiver of any subsequent breach.

Sign Now