5+ Medical Service Agreement Examples & Templates


Medical service agreements are common in health care industry. It can be an agreement between patients and physician or physician and hospital or physician and Government. The agreement emphasises that they are agreeing to give services mentioned. Physician and hospital agreement, management services agreement, physician recruitment agreement, medical directorship arrangements are a few common types of medical service agreement out there.

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If you are in the medical field you would have come across any of these agreements. Let’s see some of the examples of them.

Medical Service Agreement Examples & Templates

1. Patient and Physician Agreement

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This agreement is between patient and physician in terms of getting services from the physician as mentioned in the agreement. The physician involved in this agreement agrees to provide services using requested equipment for the agreed fees. Apart from fees and services, the agreement also includes additional charge, working environment, office visits, non medical services, insurance and communication as additional details. This agreement clearly states that professional association also has the right to amend this agreement by notifying patient with proposals. Check out the sample here.

2. Medical Service Agreement

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This is another type of agreement held between a company and physician referred for medical services. All the companies need to provide its employees medical facilities for basic routines and in a case of any unfortunate incident. In order to provide medical facilities to their employees the company approaches a physician or clinics. They finally come to an agreement indicating the terms and conditions according to a process. The agreement can be signed for a estimated time period. At the end of this agreement they come up with mutual promises and covenants. Check out the sample agreement between company and physician.

3. Medical and Hospital Services Agreement

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Size: 370KB

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This agreement is held between hospital and company declaring a mutual state of concurrences. The hospital agrees to provide medical service to the company for the limited time agreed in the notice. This agreement includes provision of services, non-discrimination, equitable treatment of members, general and Government representation, qualified providers, suspension on the ground of detection and insurance. Along with this the company and hospital agree to obligate by the terms. Check the sample medical and hospital services agreement here.

4. Health Care Service Provider Agreement

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Size: 160KB

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This sample is an agreement between health care service provider and health care organization. This can be a long term agreement between them to provide all the medical services with the fixed fees mentioned in the agreement. Hereby the fees can not be changed in future but it can be subjected to a revision over a period of time. The agreement includes services to be provided, hospitalization referrals, specialist referrals and the rates to be provided by the physician. Payment of claim according to this agreement may subject to the terms and conditions of insured’s insurance plan. Check out the sample embedded here for the detailed agreement.

5. Emergency Medical Services Agreement

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Emergency medical services agreement is commonly held for the mass use, for instance public services. This particular agreement is held between Government of State and any medical hospital or clinic. This agreement abides with mutual promises, covenants, obligations and benefits. Including the term, service and termination, this agreement works same as any other agreement. Additional agreements on disaster response, reporting requirements, insurance and communications are also comprised with this agreement. Check in the detail by looking at the sample embedded here.

6. Physician Employment Agreement

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Size: 148KB

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This sample is an agreement between physician and hospital regarding employment. This agreement includes duties and responsibilities of the physicians once or after they get the employment. Expenses and compensation, termination by the hospital, medical records and histories, confidential information, insurance and notices are included. Check out the sample here.

Types of Medical Agreements

Among several medical agreements, here we have compiled a few of them.

1. Physician Employment Agreement

This agreement Empowers both physician and the hospital in their own terms. With the physician agreeing to work as an employee in the hospital, the hospital abides several conditions mentioned in the agreement. Compensation, benefits, schedule, restrictions, terms and termination are the important sections available in the agreement.

2. Physician Recruitment Agreement

This may look similar to physician employment agreement but it’s actually not. Employment agreement will be held after you are termed as an employee of the hospital, but in this particular case, it will be held prior to the agreement indicating the rules and regulations involved while performing recruiting process. This agreement is for the federal stark laws and deals with handling of referrals. The financials and the fees portion will be in compliance with the agreement. With this agreement the physician who in the candidature must abide with the out patient referrals.

3. Management Service Agreement

Management service agreement is commonly held between clinic and outsourcing service provider. In health care, the outsource service provider support and refer employees, like a physician, as their long term partner. In this case, the agreement will be held between the clinic and the out-source provider. They handle bookkeeping, clerical and secretarial process in outsourcing. In terms of agreement, in order to keep the management services in a good form, they create a bridge for both sides and make the communication smooth.

4. Purchased Service Agreements

It is the agreement between hospital management and the health care supplies provider agreeing to provide medical aids to the hospital. The health care provider is a 3rd party, out of the medical field, but develops a long term service partnership. They work directly for the hospitals. Since hospitals look to reduce the cost of supplies, they involve in a long term agreement with the service providers. Financial, support services, clinical and environment services are the several types of purchased service agreement. If this agreement is followed ethically, hospitals can reduce the excess cost for purchasing units and earn a good revenue. In order to achieve this, hospitals need to find a potential contractor.

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