Scope of Services
Define the types of counseling, estimated hours, client assignment process, and any supervision or reporting obligations so there is no ambiguity about expected deliverables.
A well-drafted agreement reduces legal risk by defining roles, protecting patient privacy, and documenting payment and insurance obligations. It helps ensure compliance with ESIGN and UETA when signed electronically and supports enforceability of confidentiality and indemnity provisions.
Use this agreement when an individual counselor provides services to an organization but is not hired as an employee.
The document helps each party set expectations about billing, client records, licensing, and termination without creating an employment relationship.
A licensed mental health professional who provides clinical services under their own credentials and controls methods of treatment. The counselor signs to accept independent contractor status, confirms licensure, carries required liability insurance, and agrees to confidentiality and recordkeeping terms.
An authorized representative of the clinic or agency who approves the contractor arrangement, sets payment rates and scheduling procedures, and confirms that the organization will not treat the contractor as an employee for payroll or benefits purposes.
Define the types of counseling, estimated hours, client assignment process, and any supervision or reporting obligations so there is no ambiguity about expected deliverables.
Specify rates, invoicing frequency, accepted payment methods, late payment penalties, and whether the contractor is responsible for billing third-party payers or private clients.
Require compliance with patient privacy obligations, data handling procedures, and any required patient authorization language for sharing protected health information.
State the initial term, renewal mechanics, notice periods for termination for cause or convenience, and obligations that survive termination such as confidentiality.
Include required professional liability insurance limits, indemnification language, and responsibilities for claims arising from the contractor’s acts or omissions.
Explicitly state that the contractor is not an employee, is responsible for taxes, and will maintain professional licensure and credentialing independently.
| Field | Configuration |
|---|---|
| Signature Type | Allow typed or drawn signatures; enable audit trail. |
| Authentication | Use email link + optional SMS code for higher assurance. |
| Document Retention | Enable secure archival with exportable audit logs. |
| Attachments | Require license and insurance uploads before signing. |
Verify the eSignature platform supports required security, authentication, and integrations before execution.
Choose a platform that preserves a detailed audit trail, encrypts stored records, and can export signed PDFs for secure long-term retention.
| 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 (Business Premium) | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
| Envelope Cap | No envelope cap | 100 envelopes/user/year | Varies by plan | Varies by plan | Varies by plan |
Enter as MM/DD/YYYY at signing
Specify net terms such as Net 30 or Net 45
Commonly 30 days for termination without cause
Require proof of renewal before policy expiration
Follow retention schedule after termination
A clinic engages a licensed counselor for 20 hours weekly
A university hires part-time counselors per semester