Employment Clinician Agreement

EMPLOYMENT CLINICIAN AGREEMENT

Parties and Effective Date

This Employment Clinician Agreement (the "Agreement") is entered into by and between Employer Name: and Clinician Name: with an effective date of .

Recitals

Employer operates a clinical practice providing behavioral health services and desires to employ Clinician as set forth in this Agreement. Clinician represents that Clinician holds and will maintain all required licenses, certifications, and credentials to provide clinical services.

Personal Information

Position Information

Compensation includes the base salary or hourly rate set forth above, payable in accordance with Employer's payroll practices. Clinician acknowledges that any incentive, bonus, or commission arrangements shall be governed by a separate written agreement when applicable.

Duties and Scope of Practice

Clinician shall perform clinical services consistent with Clinician's licensure, training, and Employer policies, including but not limited to assessment, diagnosis, treatment planning, individual and group therapy, and documentation of patient care. Clinician shall comply with applicable professional standards, Employer policies, and all applicable laws and regulations.

Licensure, Credentials and Insurance

Clinician represents and warrants that Clinician holds current and unrestricted licenses, certifications, and registrations necessary to provide the clinical services described herein. Clinician shall maintain professional liability insurance with limits not less than per occurrence and shall provide proof of coverage upon request.

Work Schedule and Leave

Clinician is eligible for leave and benefits in accordance with Employer's policies and applicable law. Use of leave must be scheduled in advance when practicable and documented in accordance with Employer procedures.

Records, Confidentiality and HIPAA Compliance

Clinician shall maintain complete, accurate, and timely clinical records. Clinician shall maintain the confidentiality of patient information and comply with all applicable privacy and security laws, including federal and state privacy statutes. Disclosure of protected health information is permitted only as required or authorized under applicable law.

Continuing Education and Professional Development

Clinician shall maintain required continuing education and provide documentation of completed CE credits upon request. Employer may require completion of specific training courses relevant to Clinician's scope of practice; reimbursement for required courses will be provided only where explicitly agreed in writing.

Non-Solicitation and Non-Competition

During the term of employment and for a period of six (6) months following termination, Clinician shall not directly solicit Employer's patients or actively solicit Employer's employees for a competing practice within a twenty (20) mile radius of Employer's primary practice location, except as otherwise agreed in writing. This restriction is reasonable and necessary to protect Employer's legitimate business interests.

Background Checks and Authorization

Clinician authorizes Employer to obtain and verify employment history, educational credentials, licensure status, criminal history, and other background information necessary to confirm qualifications. Clinician further authorizes prior employers and educational institutions to provide relevant information to Employer.

At-Will Employment and Equal Opportunity

Employment is at will and can be terminated by either party at any time, with or without cause, subject to applicable law and any written terms herein. Employer is an equal opportunity employer and does not discriminate on the basis of protected characteristics.

Termination

This Agreement may be terminated by Employer or Clinician in accordance with the At-Will employment provision above or for cause for material breach, professional misconduct, loss of license, conviction of a felony, or breaches of confidentiality. Upon termination Clinician shall promptly return Employer property and complete patient transitions as directed.

Severability; Governing Law; Entire Agreement

If any provision of this Agreement is held invalid, the remainder shall remain in full force. This Agreement shall be governed by the laws of the state in which Employer's primary office is located. This Agreement constitutes the entire agreement between the parties and supersedes prior agreements concerning Clinician's employment; amendments must be in writing and signed by both parties.

Employment History

Provide at least two prior employers.

Education

Professional References

Provide three professional references.

Applicant Certification and Authorizations

I certify that all information provided in this Agreement and accompanying forms is true, complete, and accurate to the best of my knowledge. I understand that any false or misleading information may be grounds for withdrawal of an offer or termination of employment.

By checking the boxes below, I authorize Employer to contact prior employers, educational institutions, licensing boards, and professional references, and to obtain background checks and credential verifications as necessary to evaluate my qualifications.

I certify the information is truthful and accurate.
I authorize background and credential checks.

Miscellaneous Provisions

Confidential information of Employer shall not be disclosed. Clinician shall comply with billing, documentation, and coding practices required by Employer and applicable payers. Any disputes arising under this Agreement shall first be referred to non-binding mediation; if unresolved, disputes shall be resolved by binding arbitration under the rules agreed at that time.

Acknowledgment

By signing below, the parties acknowledge they have read, understood, and agree to be bound by the terms of this Agreement.

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