Healthcare Occupational Health Contract

HEALTHCARE OCCUPATIONAL HEALTH CONTRACT

Parties and Effective Date

This Contract is entered into between the following parties for the provision of occupational health services to employees of the Client:

Effective Date:   Term:

Recitals and Purpose

Whereas Employer requires occupational health services for employees for the purposes of pre-employment screening, surveillance, fitness-for-duty evaluations, and job-related medical management; and Whereas Provider is duly qualified and licensed to provide such services; the parties agree as follows.

Scope of Services

Provider shall furnish occupational health services to Employer's eligible employees as requested and in accordance with this Contract. Services may include, but are not limited to, the items checked below and any additional services described in the Fee Schedule.

Fees, Billing, and Payment

Employer shall pay Provider for services performed in accordance with the Fee Schedule. Provider will invoice Employer monthly for services rendered. Employer will pay invoices within the number of days specified below, subject to disputed items which shall be resolved in good faith.

Employee Authorization, Consent and HIPAA Compliance

Employer shall obtain from each employee, prior to Provider performing any individually identifiable health service, a signed authorization or consent that permits Provider to perform required examinations, testing and to release necessary medical information to Employer, its designated safety personnel, and to third parties as required for worker safety, workers' compensation, and regulatory compliance. Provider will comply with all applicable laws governing protected health information and will implement appropriate safeguards.

Employer Representative:

Records, Reporting, and Data Handling

Provider shall maintain occupational health records in compliance with applicable law, including separate retention of employee medical files and employer-record documents. Provider will provide periodic aggregate reports as agreed and timely individual reports required for fitness-for-duty decisions and workers' compensation. Provider will not disclose individually identifiable health information without proper authorization except as required by law.

Confidentiality, Data Security and PHI

Provider shall adopt administrative, technical and physical safeguards to protect PHI. Breach notification procedures will be followed in accordance with applicable laws. Employer acknowledges that certain information required for safety or regulatory reporting may be disclosed in accordance with law.

Insurance and Liability

Provider shall maintain professional liability and general commercial insurance in amounts sufficient to cover claims arising from performance of services hereunder. Employer shall maintain employer's liability and workers' compensation insurance for its employees.

Indemnification

Each party shall indemnify and hold harmless the other party from claims, liabilities, losses and expenses arising from its negligence or willful misconduct in connection with this Contract. Liability for indirect, incidental or consequential damages is disclaimed to the maximum extent permitted by law.

Term, Termination and Suspension

This Contract shall continue for the term set forth above and will automatically renew unless either party provides written notice of non-renewal at least 30 days prior to the expiration of the then-current term. Either party may terminate for cause upon material breach not cured within thirty (30) days of written notice. Provider may suspend services immediately if required by public health authorities or if Employer fails to remit payment when due.

Notices

All notices required under this Contract shall be in writing and delivered to the Designated Contacts listed above by hand, certified mail, or overnight courier, or by email with confirmation of receipt.

Miscellaneous

This Contract constitutes the entire agreement between the parties with respect to its subject matter and supersedes prior agreements. Any amendment must be in writing and signed by authorized representatives. If any provision is found unenforceable, the remainder will remain in effect.

Acknowledgements

By signing below, the undersigned representatives warrant that they are authorized to bind their respective parties to the terms of this Contract and acknowledge that they have read and understood the obligations, privacy protections and procedures described herein.

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