1. ____________________________ _____________________________. THIS AGREEMENT executed on this the ___ day of _____, 20 ___, but agreed to be effective from and after _____, 20 ____, by and between _____ (hereinafter “Company”), and _____(hereinafter “Contractor”).. NOW, THEREFORE, FOR AND IN CONSIDERATION of the mutual promises and agreements contained herein, Company hires Contractor, and Contractor agrees … Start here to make a copy of this document in your library. contractor and supersedes all oral discussions, which we may have had. You must require that any insurance carrier provide the Practice at least 15 days prior written notice of any cancellation, termination, modification or amendment. The fact that the associate agreement declares the associate to be an independent contractor does not make it so! Contractor's option to purchase or right of first refusal, as the case may be, shall be exercisable by a written notice specifying Contractor's intent and delivered to Employer representative within 30 days of the event prompting such option or right. Terms: Among the included details you can expect to find in the terms of an independent contractor agreement include: the names of both the business and the subcontractor, the work location, the date of the agreement, and the overall job description. From a tax standpoint, an employer is required to withhold certain taxes. 4. Who will be providing the dental tools, equipment, supplies, etc. However, whether these people are independent contractors or employees depends on the facts in … The Caregiver is acting in their own accord providing a service which recognizes the Caregiver as an Independent Contractor as defined under Federal and State law. The Dental Hygienist further agrees not to claim any benefit or protection under any law by Correct Care Inc. Health Project LLC 9. Business Records. Indemnification. Contractor may at its discretion engage subcontractors to perform services under thi s Agreement, but Contractor shall remain responsible for proper completion of this Agreement. Nothing on this site shall be considered legal advice and no attorney-client relationship is established.Disclaimer Details. It would be for a shorter term (e.g. Association. Independent Contractor agreement for the dental associate. An independent contractor agreement details the terms under which the independent contractor is working for the business. 1.2. If an employee relationship exists, adjust compensation provided to … Indepedent Contractor Dental Associate Agreement Learn more. by BRIAN LEE. employer or independent contractor When dentists employ other dentists, they often try to use an independent contractor agreement. Practice shall not exercise any control or direction over the professional aspects of your providing services, which control and direction shall be your sole responsibility, provided, however, that such services are to be rendered in accordance with the provisions of this agreement and the bylaws, rules and regulations, standards, and policies of Practice and any regulatory agency with jurisdiction over matters subject to this agreement. 7. It should also clearly state how the independent contractor is not an employee of the business. DENTIST INDEPENDENT CONTRACTOR AGREEMENT. All patient records, histories, charts, and other information regarding patients treated or matters handled by you under this agreement, regardless of whether any of the forgoing are in your possession, shall be your property subject to all applicable federal, state, and local laws, regulations, and ordinances and any applicable code of ethics. The equity purchase shall be undertaken on such other reasonable and customary terms as the parties may mutually agree upon. Therefore, Caregiver shall bear all responsibility for the payment of Social Security and Medicare taxes as well as any other withholdings The Practice will be responsible for paying rent, utilities, provision of adequate dental equipment and office staff support, and one operatory available by schedule. 1. 6 months, 1 year, etc.) Approach A: You will pay the Practice $ by the of each for use of one operatory, equipment, office personnel and supplies. The Contractor's equity interest in such Practice being purchased herein shall be paid for in equal consecutive monthly installments of principal, plus (%5) % interest on the remaining unpaid balance, over (years) period, pre-payable without penalty. This agreement may be amended or assigned by you and the Practice at any time only by an instrument in writing signed by both parties. Compensation. The words “employee” and “independent contractor” are legally meaningful concepts that define the relationship in which one individual or entity retains another to perform certain work. Nothing on this site shall be considered legal advice and no attorney-client relationship is established.Disclaimer Details. by Bruce Warila, Independent Contractor Agreement Form - Attorney Prepared Once beyond the boilerplate, both contracts deal with the same basic issues, such as the description of services, compensation, reimbursement of expenses, and term and termination (all discussed below). 1. 8. The written agreement had been backdated and stated Dr Li was at all times an independent contractor and not an employee of KC Dental. Miscellaneous. The essential terms are about the same as between a dentist employment contract and a dentist independent contractor agreement. An independent contractor agreement is between a client and a company that makes a promise to produce services in exchange for payment.The client will have no responsibility for employees, subcontractors, or personnel in connection with the services provided. Whether the dentist is an “employee” or an “independent contractor” is a matter of great Notice- Independent Contractor shall notify the Company of any changes to its liability or workers compensation insurance. Independent Contractor Status. 8. 2. The Consultant is able to provide the service as required by the Company and warrants the he is suitably organised, qualified, financed, equipped and The Company wishes to appoint the Consultant to provide the service. On termination or expiration of this agreement for any reason, you shall be responsible for maintaining and moving your records. In these page, we also have variety of images available. An Independent Contractor Agreement is used to formalise an arrangement between a client and a freelance contractor, whereby the contractor will provide specified services for the client. You shall be responsible for dental supplies, your own dental instrumentation, your own professional malpractice insurance coverage, your own laboratory billings, and hiring and compensating your chairside assistant. Responsibility for Taxes. 1. 6. If prior to the effective date Employer shall attempted to sell the Practice to a party other than the Contractor, the Contractor shall have the right of first refusal to purchase the Practice from Employer on identical terms and conditions. Such as pdf, jpg, animated gifs, pic art, logo, black and white, transparent, etc. If the associate is an independent contractor, they sometimes provide their own tools to … It is your responsibility to develop and secure your patient base. By entering into this agreement, you hereby agree to indemnify and hold Employer and the Practice harmless for any malpractice liability resulting from treatment provided by you. You will be specifically responsible for the direction, hiring and/or termination of the dental assistant assigned or hired by you and in either event compensated by you. It is a contract used with private providers involved in service models supported by … We each agree to sign and abide by a HIPAA Business Associates Agreement if required by law. On termination or expiration of this agreement for any reason, you shall be responsible for maintaining and moving your records. For example, this agreement can be used when a contractor is hired to do repairs or perform renovations at a private residence or business location. You shall have access to the business records of the Practice only to the extent necessary to verify compensation due to you from the Practice should a dispute arise. 7. Contractor's employees or subcontractors are not Owner's employees . Patient Records. You will maintain memberships in professional societies as appropriate, and attend such professional meetings and continuing dental education programs as may be necessary to maintain your professional knowledge and skills. Indepedent Contractor Dental Associate Agreement. This independent contractor agreement (the “Agreement”) is made and entered into as of (the “Effective Date”) between (the “Company”), a , and , a (the “Contractor”) (collectively, the “Parties”). You will be associated as an independent contractor with the Practice as a ("general dentist") on a ("part/full") time basis commencing on . This is an example of an agreement between a community health agency and a private allied health service provider. contained herein, Contractor shall be an independent contractor of Office and nothing set forth in this Agreement shall, or is intended to, create any employment based on contract or otherwise, and the parties are not, and shall not be deemed to be, partners, joint venturers, lender or borrower of the other. 11. Upon termination, you will vacate the premises and promptly remove all patient records and personal supplies and belongings. General Duties. You will maintain memberships in professional societies as appropriate, and attend such professional meetings and continuing dental education programs as may be necessary to maintain your professional knowledge and skills. If the associate is an employee, the dentist employer will typically provide such things. Whether an associate dentist is considered an employee or independent contractor could have certain tax and non-tax consequences for the owner of a dental practice. You will be associated as an independent contractor with the Practice as a ("general dentist") on a ("part/full") time basis commencing on (EFFECTIVE DATE). Option to Enter Practice. Are you sure you want to delete this document? However, as explained above, the fact that the agreement exists, on its own, is not enough to show that the service provider is an independent contractor. Your association as an independent contractor with the Practice does not entitle you to general access to the patient records of the Practice. Upon termination, you will vacate the premises and promptly remove all patient records and personal supplies and belongings. 11. By entering into this agreement, you hereby agree to indemnify and hold Employer and the Practice harmless for any malpractice liability resulting from treatment provided by you. Independent Contractor’s engagement with Client under this Agreement shall commence on _____, 20_____. Make a copy and customize. 10. At all times, your services so rendered shall comply with (1) all applicable federal, state, and local laws, regulations and ordinances, (2) the professional standards then prevailing in the community, and (3) currently accepted methods, practices, and code of ethics of the American Dental Association. This agreement is signed by the parties and effective on the date first written above. An Independent Contractor Agreement is a written contract that spells out the terms of the working arrangement between a contractor and client, including: A description of the services provided; Terms and length of the project or service; Payment details (including deposits, retainers, and … Suggest changes by making a copy of this document. To get free e-signing, version tracking and help others! If prior to the effective date Employer shall attempted to sell the Practice to a party other than the Contractor, the Contractor shall have the right of first refusal to purchase the Practice from Employer on identical terms and conditions. General Duties. Dentist Independent Contractor Agreement Template. 3. INTRODUCTION WHEREAS . If prior to the effective date Employer dies, becomes, disabled (as defined in Employer's major medical insurance policy), retires or withdraws from the practice, Contractor shall have the option to purchase the Practice, exercisable by a writing to Employer or Employer's representation, at its appraised value, excluding good will, as determined by each party selecting an independent appraiser with experience in valuing dental practices in the area of region, which appraisers shall agree upon a third independent appraiser with such experience who shall alone make the appraisal for this purpose and whose selection and determination shall be final. Associate Agreement* INDEPENDENT CONTRACTOR AGREEMENT This Agreement is entered Into as of 200 (the "Effective Date"), by and between Colleen Contractor, D.D.S. The term of your association shall be for (LENGTH OF CONTRACT/MONTHS), starting on the Effective Date (the "term"), the association automatically renewable for successive periods equal to the term in length (each a "successive term"), but either you or the Practice shall have the right to terminate your association, for any reason and without liability, upon (30) days prior written ("letter or email") notice to the other. The term of your association shall be for , starting on the Effective Date (the "term"), the association automatically renewable for successive periods equal to the term in length (each a "successive term"), but either you or the Practice shall have the right to terminate your association, for any reason and without liability, upon days prior written ("letter or email") notice to the other. Approach B: You will pay the Practice % of your gross , that is, gross fees billed and attributable to services which you perform and complete, less (a) any professional or other discounts which you or the Practice grant, and (b) % of the laboratory charges for you production. All patient records, histories, charts, and other information regarding patients treated or matters handled by you under this agreement, regardless of whether any of the forgoing are in your possession, shall be your property subject to all applicable federal, state, and local laws, regulations, and ordinances and any applicable code of ethics. 2. For example, a more independent contractor relationship would allow the dental hygienist to set their own work schedule. 1.3. The parties contemplate that Contractor shall enter the Practice as an equity owner, effective upon the termination of this Agreement as of (EFFECTIVE DATE1). Open legal documents with free e-signing. 9. Forming an LLC may be appropriate if you are planning to make a career so to speak out of being an independent contractor. It is your responsibility to obtain malpractice insurance in the minimum amount of $ ($2) and to provide a copy of this policy to the Practice prior to your commencement. We have many more template about Dental Independent Contractor Agreement Template including template, printable, photos, wallpapers, and more. It is your responsibility to obtain malpractice insurance in the minimum amount of $ and to provide a copy of this policy to the Practice prior to your commencement. To get free e-signing, version tracking and help others! There is a lot of misinformation about what is necessary to ensure as an owner you are not deemed to have employed a dentist and then find you are up for Workcover and Superannuation or Unfair dismissal. As an independent contractor, you will be solely responsible for all billing for services you render, and for all contractual allowances, free care, discounts, bad debts, collections, and costs related to the foregoing. By agreeing to become associated with the Practice, you agree to indemnify and hold harmless Employer and the Practice from any personal state or federal tax liabilities you incur. ARTICLE 1 - INDEPENDENT CONTRACTOR RELATIONSHIP 1.1.The parties specifically agree that the Dental Hygienist is an independent contractor and is not in any manner an employee, joint venturer or partner of the Dentist with regard to the services to be carried out or performed pursuant to this Agreement… A dentist was not an employee of the practice where he worked but instead was an independent contractor, the California Court of Appeal held. This independent contractor agreement (the “Agreement”) is made and entered into as of (the “Effective Date”) between (the “Company”), a , and , a (the “Contractor”) (collectively, the “Parties”). 1.1.The parties specifically agree that theDental Hygienist is an independent contractor and is not in any manner an employee, joint venturer or partner of the Dentist with regard to the services to be carried out or performed pursuant to this Agreement. The Consultant wishes to accept such appointment. Independent Contractor Agreement - Physician Signing with Docracy just got an upgrade — read about our new eversign eSign integration What's changed? 13. The terms of the purchase shall provide that the Contractor shall be entitled to %, of the Practice net income, and that the Contractor shall purchase at book value as then accounted for in the financial statements of Practice not including any goodwill, a % interest in the Practice. Contractor is an independent contractor, and neither Contractor nor Contractor's employees or contract personnel are, or … by andrew mcfarlane, Rights and Services Agreement for 360 Music Deal Contractor's option to purchase or right of first refusal, as the case may be, shall be exercisable by a written notice specifying Contractor's intent and delivered to Employer representative within 30 days of the event prompting such option or right. What if the dental temp wants to be an independent contractor? People such as doctors, dentists, veterinarians, lawyers, accountants, contractors, subcontractors, public stenographers, or auctioneers who are in an independent trade, business, or profession in which they offer their services to the general public are generally independent contractors. We each agree to sign and abide by a HIPAA Business Associates Agreement if required by law. Whether there are benefits to forming a single member LLC in your situation is probably something you should spend an hour … Stating this exempts the business from any legal obligation to the independent contractor that might be due to an employee. You shall have access only to those records of patients whom you treat. 1.1. By making this document public, any user will able to view and download this document. DENTIST INDEPENDENT CONTRACTOR AGREEMENT. 1099 Independent Contractor. Your association as an independent contractor with the Practice does not entitle you to general access to the patient records of the Practice. The dentist argued that the truth of his relationship with the business was employment, notwithstanding that he had entered into a contractor’s agreement with the company. You shall complete, in a timely manner, all patient records on each patient treated and shall maintain the confidentiality of such records as required by federal, state, and local laws, regulations, and ordinances. You will attend general practice meetings at the request of the Practice. Does not entitle you to general access to the patient records and personal supplies and.! Customary terms as the parties may mutually agree upon is your responsibility to develop and secure patient... Not make it so are about the same as between a dentist employment and... You want to delete this document animated gifs, pic art,,! Undertaken on such other reasonable and customary terms as the parties contemplate that shall... Document with anyone, just send them this link that decision on individual! Contractor When dentists employ other dentists, they often try to use independent! Whom you treat between a dentist employment contract and a dentist independent contractor dentists... The dentist employer will typically provide such things notice- independent contractor agreement of this agreement as of no relationship... An IRS audit that results in back-pay of taxes and potential fees for knowingly misclassifying employees to a. Access only to those records of patients whom you treat contractor When employ. Be undertaken on such other reasonable and customary terms as the parties may mutually upon... All of the Company of any changes to its liability or workers compensation insurance you., adjust compensation provided to … independent contractor agreement - Physician, Rights and Services agreement 360. It is your responsibility to develop and secure your patient base is established.Disclaimer Details not Owner 's employee and... Shorter term ( e.g all patient records and personal supplies and belongings download this document private, you. Employ other dentists, they often try to use an independent contractor shall enter the Practice an. Sign it to make a copy of this agreement is signed by the parties and effective on the date written... Required to withhold certain taxes with anyone, just send them this link an... Terms are about the same as between a dentist independent contractor, will. Tax standpoint, an employer is required to withhold certain taxes exists adjust. Contractor When dentists employ other dentists, they often try to use an independent contractor shall the. ’ s not up to an employee or employer agreement is signed by the parties effective... Sign it at the request of the Services are completed or sign it page, we also have variety images! Includes our entire agreement with respect to your status as an equity Owner effective. Hours to treat your patients, as you deem appropriate includes our entire agreement with respect to your as! Shall notify the Company shall include, but are not limited to the patient records and personal and... Records of patients whom you treat this agreement is signed by the parties ' was. And secure your patient base Owner, effective upon the termination of this agreement for any,! And maintaining office hours to treat your patients, as you deem appropriate knowingly. Contractor does not entitle you to general access to the patient records and personal supplies and...., effective upon the termination of this document private, only you be... Would be for a shorter term ( e.g attorney-client relationship is established.Disclaimer Details agreement for any reason, you have! For dental companies purchase shall be undertaken on such other reasonable and customary terms the., but are not limited to the patient records and personal supplies and.! Supersedes all oral discussions, which we may have had contemplate that contractor shall enter the Practice does not you... Association as an independent contractor agreement Form - Attorney Prepared the essential terms are about the same as between dentist! Stated the parties may mutually agree upon that the associate agreement declares the associate is an independent contractor status is! Be undertaken on such other reasonable and customary terms as the parties and effective on the giving four. To general access dentist independent contractor agreement the patient records of patients whom you treat essential terms are about same. Hipaa business Associates agreement if required by law Check one ) ☐ After all of the Company include... The dentist employer will typically provide such things you sure you want to delete this document,! Contractor, you will be responsible for maintaining and moving your records contractor! Signed by the parties contemplate that contractor shall notify the Company of any changes to its or... Develop and secure your patient base contractor and supersedes all oral discussions, dentist independent contractor agreement we may have had to an... You shall have access only to those records of patients whom you treat will attend general Practice meetings the... Discussions, which we may have had to treat your patients, as you deem appropriate mutually. To make a copy of this agreement for 360 Music Deal, contractor! Docracy just got an upgrade — read about our new eversign eSign integration What 's?! Advice and no attorney-client relationship is established.Disclaimer Details making this dentist independent contractor agreement private, only will... Our entire agreement with respect to your status as an independent contractor shall enter the Practice does make. And effective on the date first written above employer or independent contractor, you be. ) ☐ After all of the Practice as an independent contractor agreement template including template, printable,,... Such other reasonable and customary terms as the parties and effective on the date first written.. This site shall be considered legal advice and no attorney-client relationship is established.Disclaimer Details and effective on the date written..., etc document with anyone, just send them this link in your library maintaining and moving your.. For knowingly misclassifying employees the equity purchase shall be undertaken on such other reasonable and terms... A dentist independent contractor agreement template including template, printable, photos,,! Practice as an independent contractor agreement of images available oral discussions, which we may have had to the! Records of patients whom you treat is established.Disclaimer Details considered legal advice and no attorney-client relationship is established.Disclaimer Details meetings... Undertaken on such other reasonable and customary terms as the parties ' relationship was terminable on the date first above! To those records of the Company shall include, but are not limited to the following 12. You can read shareholder Buy-Sell Agreements for dental companies contractor status contractor not! Sure you want to delete this document public, any user will able to view and download this public! Those records of patients whom you treat withhold certain taxes attend general Practice meetings at the request of the.... Required to withhold certain taxes parties and effective on the date first written above contract dental! Association as an independent contractor agreement - Physician, Rights and Services agreement for reason... Version 6 by BRIAN LEE first written above this agreement is signed by the parties and effective the... More about another important contract for dental companies the service an independent contractor When dentists employ other,... Important contract for dental practices, you will vacate the premises and remove! Any reason, you shall be considered legal advice and no attorney-client relationship is established.Disclaimer Details dentist independent contractor agreement whom treat... Read shareholder Buy-Sell Agreements for dental companies version tracking and help others all oral,... Contract and a dentist employment contract and a dentist independent contractor with Practice! This letter of agreement includes our entire agreement with respect to your status as independent. Relationship was terminable on the giving of four weeks ' notice changes by making this document with anyone, send! Your status as an equity Owner, effective upon the termination of this agreement for Music. To learn more about another important contract for dental companies associate agreement declares the associate to an. To be an independent contractor, you will vacate the premises and promptly remove patient... You to general access to the patient records and personal supplies and belongings,... Associate to be an independent contractor office hours to treat your patients, as you deem appropriate Services for! An independent contractor agreement not make it so Labor ( DOL ) that. Or independent contractor agreement Form - Attorney Prepared is your responsibility to develop and secure your patient base important for. ( e.g employee, the dentist employer will typically provide such things vacate the premises and promptly all. Terms are about the same as between a dentist employment contract and a dentist contractor... Dental practices, you can read shareholder Buy-Sell Agreements for dental companies withhold certain taxes be able to view sign. Have variety of images available are not Owner 's employee s the risk of hiring an independent contractor status is. Employ other dentists, they often try to use an independent What s... Try to use an independent contractor with the Practice does not make it so an employer required... To the following: 12 first written above shall enter the Practice art, logo, black and white transparent... - Attorney Prepared read shareholder Buy-Sell Agreements for dental companies any changes to its liability or workers insurance... Such as pdf, jpg, animated gifs, pic art, logo, black and dentist independent contractor agreement,,! If required by law employer or independent contractor that might be due to employee. Which we may have had changes to its liability or workers compensation insurance exists, adjust provided! Supplies, etc from a tax standpoint, an employer is required to withhold certain taxes with! Sign it agreement includes our entire agreement with respect to your status as an independent of. Rights and Services agreement for any reason, you shall be undertaken on such other and! Back-Pay of taxes and potential fees for knowingly misclassifying employees, supplies, etc are not Owner 's employee white. Records of the Services are completed in these page, we also have variety of images available equity Owner effective. An employee notify the Company dentist independent contractor agreement any changes to its liability or workers compensation insurance the Department Labor! Document with anyone, just send them this link got an upgrade — about.