Employee LPC Agreement

EMPLOYEE LPC AGREEMENT

This Employee LPC Agreement (the Agreement) is entered into between Employer Name: with principal address: and Employee Name: . Effective Date: Month Day Year .

Personal Information

Position and Terms

Anticipated Start Date: Employment Status: Full-Time Part-Time Exempt Nonexempt

Pay Frequency: Eligible for benefits after .

Licensure, Credentials and Supervision

Employee represents and warrants that they hold a current license as a Licensed Professional Counselor (LPC) in the applicable jurisdiction(s). License Type/Number: State: Expiration: .

Employee shall maintain all required licensure and certifications, provide copies to Employer upon request, comply with supervision and scope-of-practice rules, and complete continuing education as required by law and Employer policy. Failure to maintain required licensure is grounds for immediate suspension or termination.

Workplace, Schedule and Records

Client records, clinical notes, and protected health information created by Employee in connection with employment are the property of Employer and must be maintained in accordance with applicable law and Employer policy. Upon separation, Employee shall cooperate in orderly transfer of records.

Background Checks; Authorizations

Employee authorizes Employer to obtain and review criminal background checks, professional license verification, education verification, driving records, and other pre-employment or ongoing screening information as permitted by law. Employee hereby certifies that the information provided in this Agreement and accompanying employment materials is true and complete.

Consent to Background Check: I consent to pre-employment and periodic background and credential checks as required by Employer policy.

Confidentiality; Professional Conduct

Employee shall maintain confidentiality of all client and Employer information in accordance with federal and state law, including but not limited to privacy and health information statutes. Employee will adhere to ethical standards of the counseling profession and promptly report any allegations of professional misconduct to Employer.

Termination; At-Will Employment

Unless otherwise expressly agreed in a separate written contract signed by an authorized representative of Employer, employment with Employer is at-will. Either party may terminate the employment relationship at any time for any lawful reason, with or without cause or notice. Nothing in this Agreement alters the at-will nature of employment except by written amendment signed by both parties.

Insurance; Indemnity

Employer will provide or require professional liability insurance coverage consistent with Employer policy. Employee shall promptly report incidents or claims. To the extent permitted by law, Employee agrees to cooperate in the defense and resolution of claims arising from professional services rendered on behalf of Employer.

Non-Solicitation and Non-Disparagement

During employment and for a period of 12 months following termination, Employee will not solicit Employer's clients, employees, or contractors for competing services. Employee agrees not to make false or disparaging statements about Employer.

Dispute Resolution; Governing Law

The parties agree to attempt good-faith mediation of any dispute arising under this Agreement prior to initiating litigation. If mediation fails, disputes shall be resolved in the state or federal courts located in the jurisdiction of Employer's principal place of business. This Agreement is governed by the substantive laws of that jurisdiction.

Entire Agreement; Amendment

This Agreement contains the entire agreement between the parties concerning the subject matter hereof and supersedes all prior agreements and understandings. Any amendment must be in writing and signed by both parties.

Employment History

Education

Professional References

Legal Disclosures & Acknowledgments

At-Will Employment: I acknowledge that my employment is at-will and may be terminated by either party at any time, with or without cause, unless otherwise provided in a separate written agreement signed by an authorized representative of Employer.

Equal Opportunity: Employer is an equal opportunity employer. Decisions regarding employment are made without regard to protected characteristics as defined by applicable law.

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 falsification or omission of relevant information is grounds for denial of employment or immediate termination. I authorize Employer to contact my former employers, educational institutions, licensing boards, and references to verify the information provided and to obtain any records or information related to my suitability for employment.

Applicant Acknowledgment: I certify that I have read, understand, and agree to the terms of this Agreement.

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