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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About this form

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 form is essential for establishing terms under which the physician will provide medical services as an independent contractor rather than an employee. It details responsibilities, compensation, and the nature of the working relationship, differentiating it from employment agreements.

Main sections of this form

  • Identification of the physician and the professional corporation, including licenses and addresses.
  • Descriptions of the services the physician will provide to the corporation.
  • Details on compensation structure, including payment schedule and bonuses.
  • Terms regarding termination of the agreement and conditions for independent contractor status.
  • Provisions regarding the ownership of medical records and the use of facilities provided by the corporation.
  • Mandatory arbitration clause for dispute resolution.
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When to use this form

This form should be used when a physician intends to work with a professional corporation in a self-employed, independent contractor capacity. It is applicable when both parties want to clearly define their expectations, compensation, and working conditions without establishing an employer-employee relationship. Scenarios include new physician contracts, renewals, or adjustments to existing agreements.

Who can use this document

  • Physicians who plan to work as independent contractors within a professional corporation.
  • Professional corporations in need of binding agreements for medical services rendered by independent contractors.
  • Both parties who wish to clarify their rights and responsibilities in the working relationship.

Instructions for completing this form

  • Identify the parties by entering the full legal names and addresses of both the physician and the corporation.
  • Specify the medical services the physician will provide to the corporation.
  • Detail the compensation structure, including any bonuses based on performance metrics.
  • Include the terms related to termination of the agreement, noting that it can be ended by either party without cause.
  • Review all provisions, especially those regarding dispute resolution and compliance with corporation policies.
  • Sign and date the agreement, ensuring both parties retain a copy for their records.

Does this form need to be notarized?

Notarization is generally not required for this form. However, certain states or situations might demand it. You can complete notarization online through US Legal Forms, powered by Notarize, using a verified video call available anytime.

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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

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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.

Common mistakes to avoid

  • Failing to clearly define the services to be rendered, which may lead to misunderstandings.
  • Not specifying the compensation details adequately, leaving room for disputes later on.
  • Overlooking state-specific legal requirements that could affect the enforceability of the agreement.
  • Allowing outdated clauses to remain in the agreement without review or revision.

Why use this form online

  • Convenience of downloading and filling out the form at your own pace.
  • Easy access to templates that are drafted by licensed attorneys, ensuring reliability.
  • Editability allows for customization specific to individual needs without legal jargon.
  • Instant availability, negating the need for physical appointments or legal consultations.

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