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Personal Medical Services Contract Template for United States

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Key Requirements PROMPT example:

Personal Medical Services Contract

"I need a Personal Medical Services Contract for a telehealth practice starting March 2025, with specific provisions for remote patient consultations and cross-state licensing requirements, serving patients in California and Nevada."

Document background
The Personal Medical Services Contract serves as a foundational document in healthcare delivery arrangements within the United States. This contract type is essential when establishing formal relationships between medical practitioners and their patients or healthcare facilities. It addresses crucial aspects including scope of practice, compensation, compliance with federal and state healthcare regulations, privacy requirements, and professional standards. The document is designed to protect both the provider and recipient of services while ensuring adherence to all applicable healthcare laws and regulations.
Suggested Sections

1. Parties: Identification of the healthcare provider and the patient/client, including full legal names and contact details

2. Background: Context of the medical services arrangement and the basis for entering into the agreement

3. Definitions: Key terms used throughout the contract defined for clarity and legal certainty

4. Scope of Services: Detailed description of medical services to be provided

5. Term and Termination: Duration of the agreement and conditions for termination

6. Compensation: Payment terms, fees, and billing procedures

7. HIPAA Compliance: Privacy and confidentiality obligations under HIPAA

8. Professional Standards: Commitment to maintain professional standards and licenses

Optional Sections

1. On-Call Coverage: Terms for after-hours availability when 24/7 or emergency services are part of the arrangement

2. Non-Compete: Restrictions on practicing within certain geographic areas when protecting practice territory is important

3. Research Activities: Terms for conducting medical research when research is part of the services

4. Teaching Obligations: Requirements for teaching or training others in academic or teaching hospital settings

Suggested Schedules

1. Schedule A - Fee Schedule: Detailed breakdown of fees for different services

2. Schedule B - Service Locations: List of approved practice locations

3. Schedule C - Equipment and Resources: List of equipment and resources provided

4. Appendix 1 - HIPAA Privacy Notice: Required HIPAA privacy notifications

5. Appendix 2 - Insurance Requirements: Detailed insurance coverage requirements

6. Appendix 3 - Quality Metrics: Performance and quality measurement criteria

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Clauses




















Industries

HIPAA: Health Insurance Portability and Accountability Act - Federal law governing patient privacy, security of health information, and data breach notifications

Anti-Kickback Statute: Federal law prohibiting the exchange of anything of value to reward or induce referrals of federal healthcare program business

Stark Law: Federal physician self-referral law prohibiting doctors from referring patients to entities with which they have a financial relationship

Medicare/Medicaid Regulations: Federal regulations governing healthcare services provided under Medicare and Medicaid programs

ADA Compliance: Americans with Disabilities Act requirements ensuring accessibility and non-discrimination in medical services

State Medical Practice Acts: State-specific laws governing the practice of medicine, including licensing requirements and scope of practice

State Privacy Laws: State-specific regulations regarding patient privacy and data protection, which may exceed HIPAA requirements

Professional Liability Requirements: Standards for medical malpractice insurance and professional liability coverage

Medical Board Requirements: State medical board regulations governing physician conduct, continuing education, and professional standards

Employment Law Compliance: Federal and state employment laws including Fair Labor Standards Act, worker's compensation, and non-compete regulations

Corporate Practice of Medicine: State-specific doctrines governing the relationship between medical professionals and corporate entities

Clinical Practice Guidelines: Professional standards and guidelines for medical practice in specific fields

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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