Employee DispatchHealth Agreement

EMPLOYEE DISPATCHHEALTH AGREEMENT

Parties and Effective Date

This Employee DispatchHealth Agreement (the Agreement) is entered into by and between:

and

Effective Date:

Personal Information

Date of Birth:

Position and Compensation

Start Date:

Full-Time    Part-Time    Contractor / 1099

Pay Schedule / Method:

Duties, Location, and Schedule

Employee will perform the duties and responsibilities customary for the position of and such other duties as assigned by Employer. Employee acknowledges that work locations may vary and may include patient homes, residential facilities, and Employer-designated sites.

Benefits and Time Off

Employee may be eligible for benefits in accordance with Employer policies. Employer retains discretion to modify eligibility and plan terms. Accrual and use of paid time off, sick leave, and other leaves shall be governed by Employer policy and applicable law.

Confidentiality, HIPAA, and Professional Conduct

Employee shall comply with all federal and state privacy requirements, including obligations under HIPAA and Employer policy regarding patient health information. Employee agrees to maintain the confidentiality of proprietary business information and patient records, both during and after employment. Unauthorized disclosure of protected information is grounds for disciplinary action, up to and including termination and legal action.

Intellectual Property and Work Product

All inventions, discoveries, developments, improvements, reports, documentation, and other work product made or conceived by Employee while employed that relate to Employer’s business or result from Employee’s use of Employer resources shall be Employer’s sole property. Employee hereby assigns all such rights to Employer and agrees to execute documents reasonably required to effectuate such assignment.

Restrictive Covenants (If Applicable)

Where enforceable, Employee agrees that for a period of months following termination of employment, Employee will not directly engage in materially similar services within a -mile radius of Employer’s principal service area, nor solicit Employer’s patients or employees, except as expressly permitted in writing. Employee acknowledges that the scope and duration of any covenant will be interpreted to the maximum extent permitted by applicable law.

Background Checks, Licensure, and Drug Testing

Employment is contingent upon satisfactory completion of background checks, verification of professional licensure and credentials, and any required drug testing. Employee consents to these checks and verification as a condition of employment.

Employee authorizes Employer to obtain background checks and verify employment, education, licensure, and professional references.

Term, Termination, and At-Will Employment

Employment shall commence on the Start Date and continue until terminated. Unless otherwise stated in a signed written agreement, either party may terminate the employment relationship at any time, with or without cause and with or without notice, consistent with the doctrine of at-will employment.

Dispute Resolution and Governing Law

The parties agree that any dispute arising under this Agreement will be resolved in accordance with the Employer’s dispute resolution policy or, where applicable, through arbitration if agreed in a separate written arbitration agreement. This Agreement shall be governed by the laws of the state in which the employee principally performs services, without regard to conflict-of-law principles.

Employment History (Provide at least two prior employers)

Dates Employed: From To

Dates Employed: From To

Education

Graduation Date:

References (Provide three professional references)

Legal Disclosures

At-Will Employment: The parties understand and agree that employment is at-will unless a separate written agreement signed by an authorized representative of Employer expressly states otherwise. Either party may terminate the relationship at any time, with or without cause, subject to applicable law.

Equal Opportunity Employer: Employer is an equal opportunity employer. Decisions regarding recruitment, hiring, promotion, compensation, and other terms and conditions of employment are made without regard to protected characteristics under applicable law.

Applicant Certification and Authorizations

I certify that all information provided in connection with my application and employment is true, complete, and accurate to the best of my knowledge. I understand that any material misrepresentation, omission, or false statement may result in the rescission of an offer or termination of employment.

I certify that all information provided is true and complete.

I authorize Employer to contact prior employers, references, licensing authorities, and other entities to verify information and conduct background and credentialing checks as necessary for employment.

Acknowledgment

By signing below, Employee acknowledges receipt of this Agreement, accepts the terms herein, and confirms that Employee has had the opportunity to ask questions and seek clarification. If Employer has provided separate policies or handbooks, Employee acknowledges receipt of those materials as indicated below.

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