1. 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 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. 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. 7. Public Contractor's employees or subcontractors are not Owner's employees . Your association as an independent contractor with the Practice does not entitle you to general access to the patient records of the Practice. If you feel an independent contractor relationship exists, then be sure to maintain accurate records, follow the rules on Form 1099, and have a written agreement with your in dependent contractor. 1. From a tax standpoint, an employer is required to withhold certain taxes. Upon termination, you will vacate the premises and promptly remove all patient records and personal supplies and belongings. 9. Business Records. You shall have access only to those records of patients whom you treat. This agreement is signed by the parties and effective on the date first written above. If the associate is an employee, the dentist employer will typically provide such things. For an employee, the employer dentist must generally withhold income taxes, withhold and pay social security and Medicare taxes, pay unemployment tax, and afford workers’ compensation benefits. 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. 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. 4. 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 … This agreement is signed by the parties and effective on the date first written above. 8. The Parties agree and acknowledge that this Agreement and Independent Contractor’s engagement with Client under this Agreement shall terminate upon the Make a copy and customize. 1099 Independent Contractor. Learn more. General Duties. 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). The Department of Labor (DOL) makes that decision on an individual basis. 1. Responsibility for Taxes. That’s not up to an employee or employer. 5. Business Expenses. Nothing on this site shall be considered legal advice and no attorney-client relationship is established.Disclaimer Details. 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. 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. Independent Contractor Agreement - Physician Miscellaneous. Independent Contractor Agreement - Physician, Rights and Services Agreement for 360 Music Deal, Independent Contractor Agreement Form - Attorney Prepared. Upon termination, you will vacate the premises and promptly remove all patient records and personal supplies and belongings. 2. Option to Enter Practice. 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. Responsibility for Taxes. You must require that any insurance carrier provide the Practice at least 15 days prior written notice of any cancellation, termination, modification or amendment. 7. by Naitik Patel, Dental Practice Purchase Agreement 2. Patient Flow and Management Responsibilities. 1. The fact that the associate agreement declares the associate to be an independent contractor does not make it so! As an independent contractor of the Practice, and not an employee, you will be solely responsible for payments of all federal income and self-employment taxes related to income paid to you by the Practice. You will attend general practice meetings at the request of the Practice. 6. 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. 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. 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. 1. Stating this exempts the business from any legal obligation to the independent contractor that might be due to an employee. 1.1. Independent Contractor Status Contractor is an independent contractor, not Owner's employee. Whether there are benefits to forming a single member LLC in your situation is probably something you should spend an hour … INDEPENDENT CONTRACTOR AGREEMENT. Patient Records. You shall have access only to those records of patients whom you treat. 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. The Contractor's equity interest in such Practice being purchased herein shall be paid for in equal consecutive monthly installments of principal, plus % interest on the remaining unpaid balance, over (years) period, pre-payable without penalty. by BRIAN LEE. The Practice will be responsible for paying rent, utilities, provision of adequate dental equipment and office staff support, and one operatory available by schedule. It should also clearly state how the independent contractor is not an employee of the business. 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. 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. Patient Flow and Management Responsibilities. 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. 9. 5. Business Expenses. 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. As an independent contractor, you will be responsible for scheduling and maintaining office hours to treat your patients, as you deem appropriate. You will be associated as an independent contractor with the Practice as a ("general dentist") on a ("part/full") time basis commencing on . The terms of the purchase shall provide that the Contractor shall be entitled to (%3) %, 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 (%4) % interest in the Practice. Miscellaneous. INDEPENDENT CONTRACTOR AGREEMENT. On the effective date, Practice and Contractor agree that Contractor shall have the option to acquire capital stock in the Practice on the terms herein provided. In making a determination whether an individual is an employee or an independent contractor, governmental agencies will look at factors such as: It is a contract used with private providers involved in service models supported by … If there is a written agreement between the parties stating that an independent contractor relationship exists, this will help establish the existence of an independent contractor relationship. It is your responsibility to develop and secure your patient base. 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 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. We each agree to sign and abide by a HIPAA Business Associates Agreement if required by law. Nothing on this site shall be considered legal advice and no attorney-client relationship is established.Disclaimer Details. 3. by Bruce Warila, Independent Contractor Agreement Form - Attorney Prepared 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. Quickly sign this document with anyone, just send them this link. 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. The equity purchase shall be undertaken on such other reasonable and customary terms as the parties may mutually agree upon. 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 … 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. Further, the agreement stated the parties' relationship was terminable on the giving of four weeks' notice. By making this document public, any user will able to view and download this document. 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. 3. 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. DENTIST INDEPENDENT CONTRACTOR AGREEMENT. by andrew mcfarlane, Rights and Services Agreement for 360 Music Deal 5. Independent Contractor agrees that customers of the Company shall include, but are not limited to the following: 12. Approach B: You will pay the Practice (%1) % of your gross (collections/production), that is, gross fees billed and (collected/produced) attributable to services which you perform and complete, less (a) any professional or other discounts which you or the Practice grant, and (b) (%2) % of the laboratory charges for you production. Such as pdf, jpg, animated gifs, pic art, logo, black and white, transparent, etc. In these page, we also have variety of images available. To get free e-signing, version tracking and help others! Signing with Docracy just got an upgrade — read about our new eversign eSign integration What's changed? 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. To learn more about another important contract for dental practices, you can read shareholder Buy-Sell Agreements for dental companies. 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. It would be for a shorter term (e.g. 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. 4. Contractor is an independent contractor, and neither Contractor nor Contractor's employees or contract personnel are, or … 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. However, whether these people are independent contractors or employees depends on the facts in … Association. 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. Approach A: You will pay the Practice $ ($1) by the (DATE) of each (MONTH) for use of one operatory, equipment, office personnel and supplies. Signing with Docracy just got an upgrade — read about our new eversign eSign integration What's changed? 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. 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. Independent Contractor’s engagement with Client under this Agreement shall commence on _____, 20_____. You must require that any insurance carrier provide the Practice at least 15 days prior written notice of any cancellation, termination, modification or amendment. Are you sure you want to delete this document? Forming an LLC may be appropriate if you are planning to make a career so to speak out of being an independent contractor. On termination or expiration of this agreement for any reason, you shall be responsible for maintaining and moving your records. 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 written agreement had been backdated and stated Dr Li was at all times an independent contractor and not an employee of KC Dental. Notice- Independent Contractor shall notify the Company of any changes to its liability or workers compensation insurance. What if the dental temp wants to be an independent contractor? Indepedent Contractor Dental Associate Agreement. Association. ____________________________ _____________________________. 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. 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. An IRS audit that results in back-pay of taxes and potential fees for knowingly misclassifying employees. Option to Enter Practice. contractor and supersedes all oral discussions, which we may have had. 9. Business Records. 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. 11. For example, a more independent contractor relationship would allow the dental hygienist to set their own work schedule. 2. Compensation. By making this document private, only you will be able to view or sign it. Open legal documents with free e-signing. From a non-tax standpoint, the major issue is vicarious liability, whereby an employer may be liable for the negligent acts of an employee. 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. 6. As an independent contractor of the Practice, and not an employee, you will be solely responsible for payments of all federal income and self-employment taxes related to income paid to you by the Practice. 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… Patient Records. If you are looking for Dental Independent Contractor Agreement Template you have come to the right place. If an employee relationship exists, adjust compensation provided to … This independent contractor agreement (the “Agreement”) is made and entered into as of [DATE OF AGREEMENT] (the “Effective Date”) between [NAME OF ENTITY] (the “Company”), a [STATE] [TYPE OF COMPANY], and [NAME OF CONTRACTOR], a (the “Contractor”) (collectively, the “Parties”). Indemnification. by Correct Care Inc. Health Project LLC 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. 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. The essential terms are about the same as between a dentist employment contract and a dentist independent contractor agreement. contractor and supersedes all oral discussions, which we may have had. Private. 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. The equity purchase shall be undertaken on such other reasonable and customary terms as the parties may mutually agree upon. 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. 8. Indepedent Contractor Dental Associate Agreement To get free e-signing, version tracking and help others! On termination or expiration of this agreement for any reason, you shall be responsible for maintaining and moving your records. Private. Your association as an independent contractor with the Practice does not entitle you to general access to the patient records of the Practice. Client will not require Contractor to rent or purchase any equipment, product, or service as a condition of entering into this Agreement. General Duties. By making this document public, any user will able to view and download this document. 1.3. Agreement. The Dental Hygienist further agrees not to claim any benefit or protection under any law 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. As an independent contractor, you will be responsible for scheduling and maintaining office hours to treat your patients, as you deem appropriate. The parties contemplate that Contractor shall enter the Practice as an equity owner, effective upon the termination of this Agreement as of . Your associate as an independent contractor with the Practice requires you to maintain business records, but does not entitle you to general access to the business records of the Practice. Association. Independent Contractor agreement for the dental associate. INTRODUCTION WHEREAS . Public 1.2. The Company wishes to appoint the Consultant to provide the service. 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. Learn more. Whether the dentist is an “employee” or an “independent contractor” is a matter of great Who will be providing the dental tools, equipment, supplies, etc. This letter of agreement includes our entire agreement with respect to your status as an independent . The Practice will be responsible for paying rent, utilities, provision of adequate dental equipment and office staff support, and one operatory available by schedule. 11. 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. 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. It is your responsibility to develop and secure your patient base. An independent contractor agreement details the terms under which the independent contractor is working for the business. You will attend general practice meetings at the request of the Practice. 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. Duties of Contractor. 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