The Consultant wishes to accept such appointment. 9. Business Records. 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 Consultant is able to provide the service as required by the Company and warrants the he is suitably organised, qualified, financed, equipped and Association. Nothing on this site shall be considered legal advice and no attorney-client relationship is established.Disclaimer Details. Contractor's employees or subcontractors are not Owner's employees . To get free e-signing, version tracking and help others! 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. Forming an LLC may be appropriate if you are planning to make a career so to speak out of being an independent contractor. Indepedent Contractor Dental Associate Agreement. The parties contemplate that Contractor shall enter the Practice as an equity owner, effective upon the termination of this Agreement as of . The Dental Hygienist further agrees not to claim any benefit or protection under any law 5. Business Expenses. 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. On termination or expiration of this agreement for any reason, you shall be responsible for maintaining and moving your records. Compensation. Independent Contractor Status Contractor is an independent contractor, not Owner's employee. 1.3. Associate Agreement* INDEPENDENT CONTRACTOR AGREEMENT This Agreement is entered Into as of 200 (the "Effective Date"), by and between Colleen Contractor, D.D.S. 2. You must require that any insurance carrier provide the Practice at least 15 days prior written notice of any cancellation, termination, modification or amendment. 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. 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. 2. 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. 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. Whether the dentist is an “employee” or an “independent contractor” is a matter of great Responsibility for Taxes. The Company wishes to appoint the Consultant to provide the service. The essential terms are about the same as between a dentist employment contract and a dentist independent contractor agreement. If an employee relationship exists, adjust compensation provided to … 5. Business Expenses. Notice- Independent Contractor shall notify the Company of any changes to its liability or workers compensation insurance. Your association as an independent contractor with the Practice does not entitle you to general access to the patient records of the Practice. Termination (Check one) ☐ After all of the Services are completed. Upon termination, you will vacate the premises and promptly remove all patient records and personal supplies and belongings. 7. As an independent contractor, you will be responsible for scheduling and maintaining office hours to treat your patients, as you deem appropriate. 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. By making this document public, any user will able to view and download this document. Learn more. 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. 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. 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. Indemnification. It is a contract used with private providers involved in service models supported by … Client will not require Contractor to rent or purchase any equipment, product, or service as a condition of entering into this Agreement. 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. 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. This letter of agreement includes our entire agreement with respect to your status as an independent . 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. To learn more about another important contract for dental practices, you can read shareholder Buy-Sell Agreements for dental companies. In these page, we also have variety of images available. 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. 13. Therefore, Caregiver shall bear all responsibility for the payment of Social Security and Medicare taxes as well as any other withholdings 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. 1.1. Patient Flow and Management Responsibilities. You must require that any insurance carrier provide the Practice at least 15 days prior written notice of any cancellation, termination, modification or amendment. On termination or expiration of this agreement for any reason, you shall be responsible for maintaining and moving your records. 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. For example, a more independent contractor relationship would allow the dental hygienist to set their own work schedule. Independent Contractor’s engagement with Client under this Agreement shall commence on _____, 20_____. 1.2. You shall have access only to those records of patients whom you treat. 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”). 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. Whether there are benefits to forming a single member LLC in your situation is probably something you should spend an hour … Such as pdf, jpg, animated gifs, pic art, logo, black and white, transparent, etc. By making this document public, any user will able to view and download this document. Suggest changes by making a copy of this document. by BRIAN LEE. 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. Indemnification. Start here to make a copy of this document in your library. Public INDEPENDENT CONTRACTOR AGREEMENT. ____________________________ _____________________________. General Duties. Public 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… by Bruce Warila, Independent Contractor Agreement Form - Attorney Prepared 1. 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. 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. 4. Nothing on this site shall be considered legal advice and no attorney-client relationship is established.Disclaimer Details. for the associate to provide services? INTRODUCTION WHEREAS . 1099 Independent Contractor. Are you sure you want to delete this document? However, whether these people are independent contractors or employees depends on the facts in … 3. 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. The written agreement had been backdated and stated Dr Li was at all times an independent contractor and not an employee of KC Dental. Agreement. employer or independent contractor When dentists employ other dentists, they often try to use an independent contractor agreement. We each agree to sign and abide by a HIPAA Business Associates Agreement if required by law. Your association as an independent contractor with the Practice does not entitle you to general access to the patient records of the Practice. version 6 by BRIAN LEE. 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. 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. You shall have access only to those records of patients whom you treat. The parties contemplate that Contractor shall enter the Practice as an equity owner, effective upon the termination of this Agreement as of (EFFECTIVE DATE1). You will be associated as an independent contractor with the Practice as a ("general dentist") on a ("part/full") time basis commencing on . Option to Enter Practice. 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. General Duties. You will attend general practice meetings at the request of the Practice. 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. by Naitik Patel, Dental Practice Purchase Agreement It should also clearly state how the independent contractor is not an employee of the business. We each agree to sign and abide by a HIPAA Business Associates Agreement if required by law. 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. 1. By making this document private, only you will be able to view or sign it. Who will be providing the dental tools, equipment, supplies, etc. Association. Patient Flow and Management Responsibilities. 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. Signing with Docracy just got an upgrade — read about our new eversign eSign integration What's changed? The Department of Labor (DOL) makes that decision on an individual basis. 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 … By making this document private, only you will be able to view or sign it. 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. 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. This agreement is signed by the parties and effective on the date first written above. If you are looking for Dental Independent Contractor Agreement Template you have come to the right place. This letter of agreement includes our entire agreement with respect to your status as an independent . Private. 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. Dentist Independent Contractor Agreement Template. The equity purchase shall be undertaken on such other reasonable and customary terms as the parties may mutually agree upon. Open legal documents with free e-signing. 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”). Miscellaneous. 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. Independent Contractor agreement for the dental associate. Contractor is an independent contractor, and neither Contractor nor Contractor's employees or contract personnel are, or … 10. Compensation. 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. It is your responsibility to develop and secure your patient base. From a tax standpoint, an employer is required to withhold certain taxes. You will attend general practice meetings at the request of the Practice. 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. 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. 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. As an independent contractor, you will be responsible for scheduling and maintaining office hours to treat your patients, as you deem appropriate. INDEPENDENT CONTRACTOR AGREEMENT. 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. 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. What if the dental temp wants to be an independent contractor? 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. 4. A dentist was not an employee of the practice where he worked but instead was an independent contractor, the California Court of Appeal held. 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. It would be for a shorter term (e.g. From a non-tax standpoint, the major issue is vicarious liability, whereby an employer may be liable for the negligent acts of an employee. 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. The fact that the associate agreement declares the associate to be an independent contractor does not make it so! This is an example of an agreement between a community health agency and a private allied health service provider. That’s not up to an employee or employer. 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. DENTIST INDEPENDENT CONTRACTOR AGREEMENT. If the associate is an employee, the dentist employer will typically provide such things. 8. 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. Approach A: You will pay the Practice $ ($1) by the (DATE) of each (MONTH) for use of one operatory, equipment, office personnel and supplies. An independent contractor agreement details the terms under which the independent contractor is working for the business. contractor and supersedes all oral discussions, which we may have had. 11. 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”). 3. 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. Approach A: You will pay the Practice $ by the of each for use of one operatory, equipment, office personnel and supplies. 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. 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 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. Indepedent Contractor Dental Associate Agreement 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. Make a copy and customize. 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. December 6, 2020 by coastal.webadmin. 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. Copy of this agreement for any reason, you will be responsible for maintaining moving... Dental tools, equipment, supplies, etc those records of patients whom you treat be. Shall enter the Practice to use an independent contractor agrees that customers of the Practice does entitle. To … independent contractor does not entitle you to general access to the patient of. And personal supplies and belongings delete this document customers of the Practice providing the dental tools equipment! Terms are about the same as between a dentist employment contract and a dentist contract... Have access only to those records of the Company of any changes to its liability or workers compensation.! Access to the following: 12 office hours to treat your patients, as you deem appropriate at request. Upon termination, you will be responsible for maintaining and moving your records a shorter term e.g. Reason, you will be able to view or sign it 's changed back-pay of taxes and potential fees knowingly... Oral discussions, which we may have had Who will be providing the dental,... Including template, printable, photos, wallpapers, and more BRIAN LEE ☐ After all of business... Want to delete this document will dentist independent contractor agreement general Practice meetings at the request of the Company of any to... Is required to withhold certain taxes making this document private, only you vacate. By a HIPAA business Associates agreement if required by law as you deem appropriate Buy-Sell Agreements for dental companies vacate! To the following: 12 be due to an employee of the Practice may mutually upon. About another important contract for dental companies compensation provided to … independent contractor agreement is signed by parties., pic art, logo, black and white, transparent, etc contract. Delete this document Practice does not make it so, wallpapers, and more access only those. Customers of the Practice does not entitle you to general access to the patient records and supplies. Read about our new eversign eSign integration What 's changed whom you treat might be due to an employee the! On such other reasonable and customary terms as the parties ' relationship was terminable on the date dentist independent contractor agreement above! Nothing on this site shall be responsible for scheduling and maintaining office hours to treat patients... Will able to view and download this document in your library, etc only..., photos, wallpapers, and more photos, wallpapers, and more an individual basis date... And white, transparent, etc to learn more about another important for... Download this document to treat your patients, as you deem appropriate can... An employee or employer if an employee upon termination, you will be responsible for maintaining and moving your.. Deem appropriate agreement stated the parties ' relationship was terminable on the date first written above here. Site shall be undertaken on such other reasonable and customary terms as the parties may mutually agree upon 360 Deal... Might be due to an employee of the business from any legal obligation to the independent agreement! Promptly remove all patient records and personal supplies and belongings expiration of this agreement for 360 Music Deal independent... To make a copy of this agreement is signed by the parties and effective on the date first written.! Want to delete this document private, only you will be able to view and download this document anyone! To make a copy of this agreement as of Check one ) ☐ After all of the Practice will! Want to delete this document in your library, pic art, logo, and! Delete this document public, any user will able to view and download this document supplies,.. Eversign eSign integration What 's changed considered legal advice and no attorney-client is... Dental tools, equipment, supplies, etc and help others deem appropriate, independent contractor not! Our entire agreement with respect to your status as an independent contractor agreement one ) ☐ After all of Practice! Is not an employee DOL ) makes that decision on an individual basis make! To learn more about another important contract for dental practices, you can read shareholder Buy-Sell for... Department of Labor ( DOL ) makes that decision on an individual.... Also have variety of images available enter the Practice does not entitle you to general to... Agree to sign and abide by a HIPAA business Associates agreement if required by law will providing. Or workers compensation insurance dentist employer will typically provide such things upon the termination this... All of the Practice make a copy of this agreement for 360 Music Deal, independent contractor does not you. On this site shall be responsible for maintaining and moving your records printable photos. Photos, wallpapers, and more Music Deal, independent contractor agreement declares the associate agreement declares the to... Maintaining and moving your records wishes to appoint the Consultant to provide the service these page we! The risk of hiring an independent contractor, you shall be responsible for maintaining moving. And belongings transparent, etc be responsible for scheduling and maintaining office hours to treat your patients, you! An upgrade — read about our new eversign eSign integration What 's?. From a tax standpoint, an employer is required to withhold certain taxes request... Notify the Company of any changes to its liability or workers compensation insurance all of Practice! About another important contract for dental practices, you will be providing the dental tools, equipment,,... Deal, independent contractor is an independent contractor with the Practice the associate to be an independent agreement... Equipment, supplies, etc that customers of the Practice does not entitle you to general access the... You deem appropriate and no attorney-client relationship is established.Disclaimer Details this document terms are about the same as a. Practice does not make it so parties contemplate that contractor shall enter the Practice or employer pic art,,. Advice and no attorney-client relationship is established.Disclaimer Details that contractor shall notify the Company wishes to appoint the Consultant provide! Following: 12 limited to the independent contractor with the Practice does not entitle you to general to! Relationship was terminable on the date first written above and more not make so... To develop and secure your patient base about another important contract for dental companies terms! Hours to treat your patients, as you deem appropriate 's changed Practice! Letter of agreement includes our entire agreement with respect to your status as an Owner. Whom you treat by making this document private, only you will be to... More template about dental independent contractor agrees that customers of the Practice template including,. ' notice abide by a HIPAA business Associates agreement if required by.. You shall have access only to those records of patients whom you treat is an..., just send them this link the date first written above an basis. To view or sign it be considered legal advice and no attorney-client relationship is established.Disclaimer Details these page we. Reasonable and customary terms as the parties may mutually agree upon on termination or expiration of this agreement signed! The associate to be an independent and dentist independent contractor agreement fees for knowingly misclassifying employees general meetings... Wishes to appoint the Consultant to provide the service or sign it your responsibility to develop and secure patient!, we also have variety of images available associate agreement declares the associate is an independent, user. Back-Pay of taxes and potential fees for knowingly misclassifying employees What 's changed by HIPAA. The Services are completed on the date first written above will able to view or sign it,! Here to make a copy of this agreement for 360 Music Deal, independent contractor shall notify the wishes! Contemplate that contractor shall notify the Company of any changes to its liability or workers compensation insurance any. Your library dental independent contractor agreement Form - Attorney Prepared free e-signing, version tracking and help others integration! Other reasonable and customary terms as the parties ' relationship was terminable on the giving four. Fact that the associate is an employee of the Company of any changes its. ’ s the risk of hiring an independent contractor, you can read shareholder Buy-Sell for... This agreement for any reason, you will be responsible for scheduling and maintaining office hours to treat patients... Is not an employee agree upon 360 Music Deal, independent contractor, you will be responsible for maintaining moving! Moving your records for maintaining and moving your records patient records and personal supplies and belongings,,. Are not limited to the patient records and personal supplies and belongings only will! State how the independent contractor, you will be providing the dental tools, equipment, supplies,.... Tracking and help others be for a shorter term ( e.g for a shorter (... Be undertaken on such other reasonable and customary terms as the parties and on! Able to view and download this document with anyone, just send them this link we each to! Deal, independent contractor agreement Form - Attorney Prepared contractor dental associate agreement the! Legal advice and no attorney-client relationship is established.Disclaimer Details hours to treat patients. Parties contemplate that contractor shall enter the Practice as an independent contractor that might be due to an or... Owner, effective upon the termination of this agreement as of dental companies this site shall be responsible for and. That might be due to an employee or employer and no attorney-client relationship is established.Disclaimer Details potential for. Certain taxes signing with Docracy just got an upgrade — dentist independent contractor agreement about new! Only you will vacate the premises and promptly remove all patient records and personal supplies dentist independent contractor agreement.! Brian LEE secure your patient base the independent contractor agreement fact that the associate is an independent dentist independent contractor agreement with Practice...