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

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Multi-State
Control #:
US-00771BG
Format:
Word; 
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Understanding this form

The Agreement Between Physician as Self-Employed Independent Contractor and Professional Corporation is a legal document that outlines the terms of the working relationship between a physician and a professional corporation. This contract distinguishes the physician as an independent contractor rather than an employee, specifying the rights, responsibilities, and compensation for medical services provided. It serves as a formal agreement that clarifies the nature of the professional relationship and helps to prevent misunderstandings or disputes in the future.

Main sections of this form

  • Identification of the parties involved, including the physician and the professional corporation.
  • Detailed description of the services to be provided by the physician.
  • Compensation structure for the physician's services.
  • Termination clause outlining the conditions under which the agreement can be ended.
  • Outline of responsibilities regarding medical records and facilities provided by the corporation.
  • Clauses outlining governing laws and mandatory arbitration for disputes.
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Situations where this form applies

This agreement is useful when a physician seeks to work as an independent contractor for a professional corporation, such as a medical practice or healthcare entity. It is typically used when the physician has specialized expertise and is hired to provide medical services while maintaining autonomy over their practice methods. This form is beneficial to establish clear expectations for both the physician and the corporation and to avoid classification issues regarding employee status.

Who needs this form

This form is designed for:

  • Physicians seeking to work with professional corporations in an independent capacity.
  • Professional corporations looking to formalize agreements with independent contractor physicians.
  • Healthcare providers needing a structured contract to delineate terms of service and compensation.
  • Lawyers and consultants drafting contracts on behalf of independent contractors in the medical field.

Instructions for completing this form

  • Identify the parties by entering the full names and addresses of the physician and the professional corporation.
  • Specify the services that the physician will provide, including any specialty areas.
  • Detail the compensation arrangement, including how often payments will be made and any bonus structures.
  • Include the terms for termination, defining whether notice is required and under what conditions.
  • Gather signatures from both the physician and an authorized representative of the corporation to finalize the agreement.

Does this form need to be notarized?

This form does not typically require notarization to be legally valid. However, some jurisdictions or document types may still require it. US Legal Forms provides secure online notarization powered by Notarize, available 24/7 for added convenience.

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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

  • Failing to clearly define the scope of services to be provided by the physician.
  • Omitting important details related to compensation and payment schedules.
  • Not specifying the governing law applicable to the agreement.
  • Neglecting to gather all required signatures before implementing the agreement.
  • Overlooking state-specific guidelines that could impact the agreement’s validity.

Advantages of online completion

  • Convenient access to downloadable templates that are easy to customize.
  • Ability to print or save the form for quick use.
  • Legal reliability, as the forms are drafted by licensed attorneys.
  • Time-saving process with clear structure for all necessary sections.

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