Physician Services Agreement

PHYSICIAN SERVICES AGREEMENT

This Physician Services Agreement ("Agreement") is made as of by and between Physician Name: (the "Physician") and Health Care Entity Name: (the "Entity").

RECITALS

WHEREAS, Entity operates a health care facility and desires to retain Physician to provide professional medical services in the specialty of ;

WHEREAS, Physician represents that Physician holds an active and unrestricted license to practice medicine in the state(s) in which services will be performed and maintains the necessary hospital privileges and credentials; and

WHEREAS, the parties desire to set forth the terms and conditions under which Physician will provide such services.

NOW, THEREFORE, in consideration of the mutual covenants contained herein and other good and valuable consideration, the parties agree as follows:

1. SERVICES

1.1 Scope. Physician shall provide professional services consistent with Physician's training and licensure, including but not limited to medical evaluation, diagnosis, treatment, consultation, on-call coverage, and participation in multidisciplinary care as reasonably requested by Entity (the "Services"). Physician shall perform the Services at the following primary location(s): .

1.2 Standard of Care. Physician agrees to perform all Services in accordance with the standard of care applicable to similarly situated practitioners and in compliance with all applicable federal and state laws, regulations, and professional standards.

2. TERM

2.1 Term. The term of this Agreement shall commence on and shall continue until unless earlier terminated in accordance with Section 9.

2.2 Renewal. This Agreement shall automatically renew for successive terms unless either party delivers written notice of non-renewal at least days prior to the end of the then-current term.

3. COMPENSATION

3.1 Fee. Entity shall pay Physician for Services as follows: Base compensation per month or per session (as applicable): .

3.2 Payment Terms. All fees shall be payable within days of invoice. Physician shall submit invoices in the form and with the supporting documentation reasonably required by Entity. Payments may be withheld for disputed charges until resolution.

3.3 Withholding. Physician acknowledges that Entity may be required to withhold amounts as required by law; except as provided by statute, Physician shall be solely responsible for any taxes arising from sums paid under this Agreement.

4. INDEPENDENT CONTRACTOR

Physician shall perform Services as an independent contractor and not as an employee, agent, partner or joint venturer of Entity. Physician shall be solely responsible for the manner and means of performing the Services, subject to the professional standards and reasonable policies of Entity. Nothing in this Agreement shall be construed to confer employment benefits on Physician.

5. LICENSES, CREDENTIALS AND PRIVILEGES

5.1 Licensure. Physician represents and warrants that Physician holds and will maintain during the Term an active, unrestricted license to practice medicine in the state(s) in which Services are performed. License number: Issuing state(s): .

5.2 Hospital Privileges. Physician shall maintain such hospital privileges and credentials as reasonably required to provide the Services. Physician shall promptly notify Entity of any suspension, restriction, or loss of privileges or licensure.

6. CONFIDENTIALITY

Physician shall maintain the confidentiality of all patient information, proprietary Business information of Entity, and other confidential material and shall not disclose such information except as required to perform the Services or as required by law. Upon termination, Physician shall return all confidential documents and materials to Entity.

7. PATIENT RECORDS; MEDICAL CHARTS

All medical charts, patient records and related documentation created in the course of providing Services shall be the property of Entity. Physician may retain copies of records as required by law or professional obligations but shall not remove originals without prior written consent.

8. INSURANCE AND INDEMNIFICATION

8.1 Insurance. During the Term, Physician shall maintain professional liability insurance with limits of not less than per claim and aggregate, or such other amounts as required by Entity.

8.2 Indemnification. Physician shall indemnify, defend and hold harmless Entity and its directors, officers and employees from and against any claims, liabilities, losses or expenses (including reasonable attorneys' fees) arising out of Physician's negligent acts, omissions or willful misconduct in the performance of Services. Entity shall indemnify Physician for liabilities arising from Entity's gross negligence or willful misconduct.

9. TERMINATION

9.1 For Cause. Either party may terminate this Agreement for cause upon written notice if the other party materially breaches any provision and fails to cure the breach within days after receipt of written notice specifying the breach.

9.2 Immediate Termination. Entity may terminate immediately upon written notice for reasons that include loss or suspension of Physician's license, suspension or revocation of hospital privileges, conviction of a felony, or conduct that poses an imminent risk to patient safety.

10. REPRESENTATIONS AND WARRANTIES

Each party represents and warrants that it has full corporate or individual power and authority to enter into this Agreement, and that the person executing this Agreement on its behalf is duly authorized to do so.

11. COMPLIANCE WITH LAWS

Physician shall comply with all applicable federal and state laws, rules and regulations governing professional licensure, billing, prescribing, controlled substances, privacy, and the provision of health care services.

12. NOTICES

All notices shall be in writing and shall be deemed given when delivered in person, by nationally recognized overnight courier, or three business days after deposit in the U.S. mail, postage prepaid, addressed to the addresses set forth above or to such other address as either party may designate by written notice.

13. AMENDMENT; WAIVER; COUNTERPARTS

This Agreement may be amended only by a written instrument signed by both parties. No failure or delay by either party in exercising any right shall operate as a waiver. This Agreement may be executed in counterparts, each of which shall constitute an original.

14. ENTIRE AGREEMENT; SEVERABILITY; GOVERNING LAW

14.1 Entire Agreement. This Agreement, together with any exhibits and schedules expressly incorporated, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior agreements and understandings relating thereto.

14.2 Severability. If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall continue in full force and effect.

14.3 Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the state of without regard to conflict of laws principles.

15. MISCELLANEOUS PROVISIONS

15.1 Assignment. Neither party may assign or delegate this Agreement without the prior written consent of the other party, except that Entity may assign to a successor by merger or sale of substantially all of its assets.

15.2 Remedies. Remedies provided in this Agreement are cumulative and in addition to any other remedies available at law or equity.

SCHEDULED DETAILS (OPTIONAL)

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