Are electronic signatures legally enforceable?

Yes. Electronic signatures are generally enforceable in interstate and commercial transactions under the ESIGN Act (15 U.S.C. ch. 96) and under state UETA enactments. Exceptions exist for certain testamentary or court‑mandated filings.

Can protected health information be included and e-signed?

Yes, but include a HIPAA Business Associate Agreement and use a platform that supports HIPAA protections. Ensure access controls, audit trails, and breach notification procedures are in place.

Who must sign from each party?

An authorized representative with actual authority to bind the organization should sign on behalf of institutions; the licensed professional signs for personal obligations. Verify corporate signatory authority before execution.

Is notarization required to make this contract valid?

Most professional services agreements do not require notarization to be valid. Notarization or witnesses may still be needed for related documents (powers of attorney, deeds) depending on state law.

How do I correct an executed mistake?

Amend the agreement with a signed written amendment or mutual rescission and replacement. Minor typographical corrections may require an addendum signed by both parties to avoid disputes.

Can a party revoke their signature?

Revocation depends on contract terms and timing; a signed agreement generally binds parties. To cancel, follow termination clauses or negotiate a written release; unilateral revocation is rarely effective.

Electronic Signature
Templates
Healthcare
Healthcare Professional Services Agreement

Healthcare Professional Services Agreement

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

HEALTHCARE PROFESSIONAL SERVICES AGREEMENT

Parties and Recitals

This Healthcare Professional Services Agreement ("Agreement") is entered into between:

Facility / Organization Name Healthcare Professional Name

Facility Address:

Professional Address:

Professional NPI Number: State License #:

Effective Date: Term (months):

Scope of Services

Professional will perform clinical and related services as described below in a professional manner and in accordance with applicable standards of care.

Description of Services (include specialty, setting, and typical duties)

Compensation and Billing

Facility will compensate Professional as follows. Professional shall submit itemized invoices detailing dates of service, patient identifiers in accordance with privacy laws, and any reimbursable expenses.

Rate or Fee Schedule Billing Frequency

Reimbursable Expenses (pre-approved):

Licensure, Credentials and Insurance

Professional represents and warrants that Professional holds and will maintain all required licenses, certifications, and credentials necessary to perform the Services, and immediately shall notify Facility of any restriction, suspension, or revocation.

Malpractice Insurance Carrier

Policy Number: Per Claim Limit: Aggregate Limit:

Compliance, Privacy and Confidentiality

Professional shall comply with all federal and state laws applicable to the provision of healthcare services, including privacy and security requirements. Professional shall comply with Facility policies to the extent they are lawful and provided in writing.

Professional acknowledges the obligation to protect Protected Health Information under applicable law and Facility policies and agrees to execute any required privacy or Business Associate documentation as needed.

Acknowledgments

I certify Professional will comply with privacy and security obligations and safeguard PHI in accordance with applicable law.

I authorize Facility to obtain background checks and credentialing verification; Professional will promptly provide requested documentation.

Records, Ownership and Access

Medical records created in the course of providing Services are the property of the Facility. Professional shall document care in Facility systems in a timely manner and shall comply with record retention policies.

Procedures for Record Access

Independent Contractor; Employment Status

Except as specifically provided herein, Professional is engaged as an independent contractor. Professional shall be solely responsible for withholding, taxes, benefits, and other obligations imposed by law. Nothing in this Agreement shall be construed to create an employment relationship.

Indemnification and Liability

Each party shall indemnify, defend, and hold harmless the other party from claims arising from its negligent acts, omissions, or willful misconduct. Professional's indemnity obligation includes defense costs and settlements related to Professional's provision of Services.

Limitation of Liability

Termination

This Agreement may be terminated by either party for cause upon written notice specifying the grounds. Either party may terminate without cause by providing advance written notice to the other party.

Notice Period (days):

Notices

All notices required under this Agreement shall be in writing and delivered to the addresses below unless changed by written notice in accordance with this section.

Facility Notice Address Professional Notice Address

Governing Law; Dispute Resolution

This Agreement shall be governed by the laws of the state indicated below. Parties agree to attempt good faith negotiation followed by binding arbitration for unresolved disputes, unless otherwise agreed in writing.

Governing Law State: Arbitration Venue:

Miscellaneous

Assignment: Neither party may assign this Agreement without the prior written consent of the other, except Facility may assign to an affiliate or successor entity responsible for the operation of the Facility.

Additional Provisions / Special Terms

Authorization and Expiration

This Agreement, and any authorizations referenced herein, shall expire on:

By signing below, the parties certify that the information provided is true and correct, that the Professional is authorized to perform the Services and maintain required insurances, and that each party has authority to execute this Agreement.

Facility / Organization and Professional Names:

By:

Date:

What a Healthcare Professional Services Agreement Is and why it matters

A Healthcare Professional Services Agreement is a written contract allocating responsibilities, fees, and liability between a healthcare provider and a facility, group practice, or third-party service recipient. Typical provisions define the parties, scope of services, professional credentials, compensation and billing, term and termination rights, confidentiality and HIPAA protections, indemnification, and dispute resolution. In the United States this agreement may be executed electronically under the ESIGN Act (15 U.S.C. ch. 96) and state UETA laws unless a statutory exception applies. Accurate terms reduce regulatory and billing disputes.

Why this agreement protects clinical services and revenue

A clear Healthcare Professional Services Agreement establishes expectations for care delivery, payment terms, duty limits, and regulatory compliance (including HIPAA). It reduces billing errors, supports credentialing and audits, and documents risk transfer and malpractice allocation.

Who typically completes or signs this agreement

Healthcare organizations and individual clinicians prepare and sign these agreements when engaging professional services; different teams handle drafting, review, and execution.

Hospital administrators and contracting teams who manage provider relationships and compliance obligations.
Independent clinicians and locum tenens providers who need to document scope, hours, and pay rates.
Practice managers and billing departments who require clear invoicing and credentialing data for reimbursements.

Use appropriate signatories from each party—authorized executives for organizations and licensed professionals for clinical duties—to ensure enforceability and smooth onboarding.

Core sections to include in the agreement

Include these core components to create an enforceable, operational document that supports clinical, billing, and compliance workflows.

Parties

Identify legal entities and individual professionals by full legal name, business entity type, and contact information to avoid ambiguity in enforcement and billing.

Scope of Services

Describe services in detail (procedures, schedules, locations, call coverage) and any limitations or exclusions to reduce disputes over unmet expectations.

Compensation

Specify rates, billing cadence, responsibility for payer denials, expenses, and whether payments are fee‑for‑service, stipend, or percentage‑based.

Term & Termination

State the effective date, renewal mechanics, notice periods, and grounds for termination including cause, insolvency, or regulatory actions.

Confidentiality & HIPAA

Include HIPAA-compliant privacy language and a Business Associate Agreement where PHI will be accessed, processed, or stored.

Liability & Indemnification

Allocate malpractice responsibility, indemnities, insurance minimums, and any caps on liability consistent with state law and institutional policy.

Essential data elements to collect and protect

Provider Identifiers: NPI, license number

Contact Details: Address, phone, email

Tax Information: TIN or EIN

Insurance Details: Malpractice carrier and limits

Payment Terms: Rates and billing cycle

Effective Date: Start and end dates

Quick steps to prepare and execute the agreement

Follow these sequential actions to draft, review, and finalize a Healthcare Professional Services Agreement efficiently.

01

Draft terms: Assemble scope, fees, insurance, and HIPAA requirements.
02

Verify credentials: Confirm license, NPI, and malpractice coverage before execution.
03

Legal review: Have counsel or contracts team review regulatory and indemnity clauses.
04

Execute: Obtain authorized signatures and distribute final copies to stakeholders.

Digital workflow settings for online completion

Configure these fields to ensure secure routing, authentication, and auditability when you execute the agreement electronically.

Field	Configuration
Authentication method	Email link, SMS OTP, or knowledge-based verification
Notifications	Automatic reminders and completion alerts to signers
Template reuse	Save as template for recurring clinician engagements
Audit trail capture	Record timestamps, IP, and signer actions for compliance

Technical and integration requirements for e-signing

Choose a platform that supports secure document formats, authentication, and HIPAA-compliant workflows when PHI is involved.

File formats: PDF, DOCX supported
Integrations: EHR, CRM, and cloud storage links
Security standards: TLS and AES encryption

Ensure the platform provides audit trails, optional multi-factor signer authentication, and a Business Associate Agreement when handling protected health information.

Typical electronic execution flow

This streamlined workflow describes how to send, sign, and store the agreement electronically while preserving an auditable record.

Upload document: Import PDF or DOCX to the signing platform
Place fields: Add signature, date, and data entry fields
Invite signers: Send secure link or email to participants
Store copy: Save signed PDF and certificate of completion

Common timing and notice expectations

Key deadlines and contractual timelines that commonly appear in Healthcare Professional Services Agreements.

Effective date:

Date the parties agreed to start services (MM/DD/YYYY).

Invoice terms:

Typical payment window: Net 30 from invoice date.

Termination notice:

Standard notice: 30 to 90 days depending on clause.

Credential verification:

Complete license and malpractice checks before start date.

Contract renewal:

Automatic renewal terms or explicit renewal notice periods.

Frequent drafting and execution errors to avoid

Omitting precise service descriptions which leads to disputes over duties and scheduling.
Failing to verify license, NPI, or malpractice limits before execution causes regulatory and payment delays.
Not including a HIPAA Business Associate Agreement when PHI access is required, increasing breach risk.
Using vague payment language like 'reasonable compensation' without defined rates or billing mechanics.

Consequences of incomplete or incorrect agreements

Contract Liability: Breach damages and indemnity exposure

Regulatory Penalties: State licensing actions or fines

Payment Disputes: Delayed reimbursement or withholding

HIPAA Breach: Civil penalties and reporting obligations

Tax Withholding: Backup withholding for missing TIN

Credential Delays: Service start delays and revenue loss

eSignature vendor pricing and key capabilities comparison

Compare starting prices and essential features for common eSignature vendors; signNow is listed first as a baseline for plans and capabilities.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by plan	Varies by plan	Varies by plan	Varies by plan
Bulk Send	Yes (Premium tier)	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No

Illustrative real-world examples

These concise case summaries show practical uses and measurable outcomes when agreements are implemented correctly.

Fertility Centers of Illinois — John Butler

The clinic standardized provider contracts to centralize credential checks and billing.

This reduced onboarding delays for specialists by several days.
The streamlined process improved compliance tracking and reduced time-to-bill, helping avoid payment interruptions and supporting audit readiness.

Optica Ventures LLC — Brian Fitzgibbons

A management group used standardized services agreements for locum engagements.

The template clarified liability and payment mechanics.
Consistent documentation sped up agreements, lowered administrative overhead, and improved relationships with temporary clinicians.

Common questions and practical answers

Answers to frequent questions about enforceability, signatures, notarization, corrections, and revocation for Healthcare Professional Services Agreements.

Need help? Contact support

Are electronic signatures legally enforceable?
Yes. Electronic signatures are generally enforceable in interstate and commercial transactions under the ESIGN Act (15 U.S.C. ch. 96) and under state UETA enactments. Exceptions exist for certain testamentary or court‑mandated filings.
Can protected health information be included and e-signed?
Yes, but include a HIPAA Business Associate Agreement and use a platform that supports HIPAA protections. Ensure access controls, audit trails, and breach notification procedures are in place.
Who must sign from each party?
An authorized representative with actual authority to bind the organization should sign on behalf of institutions; the licensed professional signs for personal obligations. Verify corporate signatory authority before execution.
Is notarization required to make this contract valid?
Most professional services agreements do not require notarization to be valid. Notarization or witnesses may still be needed for related documents (powers of attorney, deeds) depending on state law.
How do I correct an executed mistake?
Amend the agreement with a signed written amendment or mutual rescission and replacement. Minor typographical corrections may require an addendum signed by both parties to avoid disputes.
Can a party revoke their signature?
Revocation depends on contract terms and timing; a signed agreement generally binds parties. To cancel, follow termination clauses or negotiate a written release; unilateral revocation is rarely effective.

be ready to get more

Join over 28 million airSlate SignNow users

Sign Now