Agreement Between Physician as Self-Employed Independent Contractor and Professional Corporation

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Multi-State
Control #:
US-00771BG
Format:
Word; 
Rich Text
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What this document covers

The Agreement Between Physician as Self-Employed Independent Contractor and Professional Corporation is a legal document that outlines the relationship between a physician and a professional corporation. This agreement formalizes the terms under which the physician will provide medical services as an independent contractor, rather than as an employee. It differs from employment agreements by emphasizing the independent nature of the contractor's work and the lack of control exerted by the corporation over the physician's methods and means of service delivery.

Key parts of this document

  • Identification of the parties involved, including the physician and the professional corporation.
  • Description of services to be rendered by the physician, including patient care obligations.
  • Compensation structure detailing payment terms and potential bonuses.
  • Termination conditions allowing for termination by either party.
  • Independent contractor status defining the nature of the working relationship.
  • Provisions for dispute resolution through mandatory arbitration.
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When this form is needed

This agreement is necessary when a physician wishes to establish a formal working arrangement with a professional corporation while maintaining an independent contractor status. It is particularly useful in medical practices where physicians are contracted to provide services without being classified as employees, allowing for greater flexibility in work arrangements and financial management.

Who should use this form

  • Physicians looking to contract with a professional corporation.
  • Healthcare administrators managing professional medical corporations.
  • Lawyers drafting agreements for healthcare professionals.
  • Medical practitioners in specialties that permit independent practice.

Completing this form step by step

  • Identify the parties: Clearly state the full names of the physician and the professional corporation.
  • Define the services: Outline the specific medical services the physician will provide.
  • Agree on compensation: Specify the payment amount and frequency, and include any bonus structures.
  • Include termination clauses: Clarify the conditions under which either party can terminate the agreement.
  • Review independent contractor terms: Ensure that both parties acknowledge the independent status of the physician.

Notarization guidance

This form does not typically require notarization unless specified by local law. It's advised to check state requirements or consult legal counsel to ensure compliance.

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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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We protect your documents and personal data by following strict security and privacy standards.

Avoid these common issues

  • Failing to clearly define the scope of services, which can lead to misunderstandings.
  • Not specifying the compensation structure, leading to payment disputes.
  • Neglecting to include clear termination procedures.
  • Assuming that state laws do not affect the agreement without proper legal review.

Advantages of online completion

  • Convenience of accessing and downloading the form at any time.
  • Editability allows custom adjustments to fit specific needs.
  • Secure storage options to keep the agreement protected.
  • Easy to follow format that simplifies the completion process.

Summary of main points

  • The agreement outlines the professional relationship between a physician and a corporation as one of independent contracting.
  • Important sections include details on services, compensation, and termination conditions.
  • Utilizing this form can aid in preventing employment classification issues.
  • It is crucial to correctly complete the form to ensure all legal aspects are covered.

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FAQ

People such as doctors, dentists, veterinarians, lawyers, accountants, contractors, and subcontractors who are in an independent trade, business, or profession in which they offer their services to the general public are generally independent contractors.If you are an independent contractor, you are self-employed.

As an IC, you practice in a self-employed capacity. This means the financial end of employment is now your responsibility. An employee fills out a W-4 form so an employer may report financial information.

An independent contractor (IC) is someone who is in an independent trade or profession offering services to the general public. An IC is considered to be able to control their own work, not the employer. 1fefffeff By contrast, an employee's work is controlled and directed by the employer.

The IRS requires contractors to fill out a Form W-9, request for Taxpayer Identification Number and Certification, which you should keep on file for at least four years after the hiring. This form is used to request the correct name and Taxpayer Identification Number, or TIN, of the worker or their entity.

Terms. This is the first section of any agreement or contract and states the names and locations of the parties involved. Responsibilities & Deliverables. Payment-Related Details. Confidentiality Clause. Contract Termination. Choice of Law.

Make sure you really qualify as an independent contractor. Choose a business name (and register it, if necessary). Get a tax registration certificate (and a vocational license, if required for your profession). Pay estimated taxes (advance payments of your income and self-employment taxes).

For some business-minded physician assistants (PAs), independent contracting offers a versatile and entrepreneurial way to practice medicine allowing for significant flexibility in hours, increased freedom of choice and income.

A medical practice generally has two options for engaging physicians who are not general partners of the medical practice: employee or independent contractor. This either or choice extends to the shareholders of a medical corporation, as well.

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Agreement Between Physician as Self-Employed Independent Contractor and Professional Corporation