Healthcare Ambassador Agreement

HEALTHCARE AMBASSADOR AGREEMENT

Parties and Contact Information

Recitals and Effective Date

This Healthcare Ambassador Agreement ("Agreement") is entered into by and between and . The parties agree that this Agreement shall become effective on (the "Effective Date").

Scope of Services

The Ambassador shall perform non-clinical outreach and promotional services on behalf of the Organization as described below. Ambassadors shall not provide medical care, clinical advice, diagnosis, or treatment unless separately licensed and expressly authorized in writing by the Organization.

Permitted activities include outreach, event attendance, distribution of educational non-clinical materials, sharing approved social media content, and referral of prospective patients to the Organization. Ambassador must follow Organization policies and only use Organization-approved materials.

Training, Background Checks, and Compliance

Ambassador acknowledges and agrees to complete required onboarding, compliance training, and any background checks required by the Organization prior to performing duties. The Organization may suspend duties pending satisfactory completion of such requirements.

Confidentiality and Protected Health Information

Ambassador will maintain the confidentiality of all Organization information, including Protected Health Information (PHI) encountered in connection with performance of duties. Ambassador will comply with all applicable federal and state privacy laws and Organization policies, including but not limited to requirements that PHI not be disclosed except as authorized in writing by the Organization and the subject of the information.

Use of Name, Likeness, and Approved Materials

Ambassador grants the Organization the right to use Ambassador's name, photograph, recorded statements, and/or social media posts provided in connection with authorized activities for promotional purposes. All promotional materials must be pre-approved by the Organization where required.

Compensation and Expenses

Compensation, if any, will be set forth below. If Ambassador is a volunteer, no wages or employee benefits are provided. Reimbursement for pre-approved expenses will be provided upon submission of receipts in accordance with Organization policy.

Term, Termination, and Revocation

This Agreement begins on the Effective Date and continues until terminated by either party. Either party may terminate this Agreement with written notice to the other party. The Organization may terminate immediately for cause, including breach of confidentiality, unlawful conduct, or failure to comply with Organization policies.

Independent Contractor; No Medical Practice

Ambassador is an independent contractor or volunteer and is not an employee, partner, agent, or representative of the Organization for employment-law purposes. Ambassador will not hold himself or herself out as a licensed provider of medical services on behalf of the Organization and will not perform clinical tasks unless expressly authorized in writing and properly licensed.

Indemnification and Insurance

Ambassador shall indemnify and hold harmless the Organization, its officers, employees and agents from any claims, liabilities, damages, losses, and expenses arising out of Ambassador's negligence, willful misconduct, or breach of this Agreement. If Ambassador is paid or performs activities that may create liability exposure, Ambassador shall maintain adequate liability insurance and provide proof of coverage upon request.

Reporting, Recordkeeping and Audit

Ambassador shall promptly report outreach activities and any incidents involving PHI or potential privacy breaches to the Organization. Ambassador agrees to maintain records of activities as required and to permit Organization audits of compliance upon reasonable notice.

Non-Solicitation and Non-Disparagement

During the term of this Agreement and for a period of one (1) year following termination, Ambassador will not directly solicit Organization employees for employment or make false or disparaging statements about the Organization or its services.

Governing Law; Dispute Resolution

This Agreement will be governed by and construed in accordance with the laws of the state identified by the Organization below without regard to conflict of law principles. The parties agree to attempt good faith negotiation of disputes and, if unresolved, to pursue mediation prior to commencing litigation.

Miscellaneous Provisions

This Agreement constitutes the entire agreement between the parties regarding the subject matter herein and supersedes all prior agreements. Any modification must be in writing and signed by both parties. If any provision is held invalid, the remaining provisions will continue in full force and effect.

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