This is an independent contract agreement between a health care worker and a provider of health care services such as vaccinations, screenings and health education, and who uses the services of qualified independent healthcare professionals, including but not limited to registered nurses, licensed practical nurses, nurse assistants, medical assistants and phlebotomists to provide such services.
This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
The Wisconsin Self-Employed Independent Contractor Agreement with Health Care Worker is a legal contract drafted for individuals or entities who provide healthcare services as independent contractors in the state of Wisconsin. This agreement outlines the terms and conditions under which the independent contractor agrees to provide healthcare services to another party, referred to as the client or hiring entity. Keywords: 1. Wisconsin: Refers to the state where the agreement is applicable, implying adherence to the state-specific laws, regulations, and requirements governing independent contractors in Wisconsin. 2. Self-Employed: Signifies that the contractor works for themselves and is not an employee of the client or any other company. 3. Independent Contractor: Identifies the nature of the working relationship between the contractor and the client, emphasizing the absence of an employer-employee relationship. 4. Agreement: Highlights the legally binding nature of the document, outlining the responsibilities, rights, and obligations of both parties. 5. Health Care Worker: Describes the specific profession or occupation of the contractor, which involves providing healthcare services to individuals. This could include doctors, nurses, therapists, or other professionals in the healthcare industry. 6. Client: Refers to the party or entity hiring the healthcare worker as an independent contractor. This could be a healthcare facility, hospital, medical practice, or any other organization in need of healthcare services. 7. Terms and Conditions: Encompasses the various provisions, stipulations, and requirements that both parties must comply with during the course of the agreement. 8. Services: Specifies the healthcare services the independent contractor will provide to the client. This may include medical consultations, surgical procedures, therapy sessions, diagnostic evaluations, or any other specific services agreed upon by the two parties. 9. Responsibilities: Outlines the obligations of the independent contractor, such as maintaining licensure or certifications, adhering to professional standards and ethics, providing services with due care and skill, maintaining necessary liability insurance, and maintaining patient confidentiality. 10. Compensation: Details the payment arrangement between the contractor and the client, including the agreed upon fee structure, payment method, frequency, and any additional expenses or reimbursements. 11. Term: Defines the duration of the agreement, stating the exact start and end date or outlining whether it is an ongoing or renewable agreement. 12. Termination: Specifies the conditions under which either party can terminate the agreement, including breach of contract, non-performance, or other agreed-upon circumstances. 13. Other Types: While the specific types of Wisconsin Self-Employed Independent Contractor Agreement with Health Care Worker may vary, alternative types could include agreements for locum tenens healthcare workers, traveling nurses, or specialized healthcare professionals, each with specific terms and conditions tailored to their unique circumstances and requirements.The Wisconsin Self-Employed Independent Contractor Agreement with Health Care Worker is a legal contract drafted for individuals or entities who provide healthcare services as independent contractors in the state of Wisconsin. This agreement outlines the terms and conditions under which the independent contractor agrees to provide healthcare services to another party, referred to as the client or hiring entity. Keywords: 1. Wisconsin: Refers to the state where the agreement is applicable, implying adherence to the state-specific laws, regulations, and requirements governing independent contractors in Wisconsin. 2. Self-Employed: Signifies that the contractor works for themselves and is not an employee of the client or any other company. 3. Independent Contractor: Identifies the nature of the working relationship between the contractor and the client, emphasizing the absence of an employer-employee relationship. 4. Agreement: Highlights the legally binding nature of the document, outlining the responsibilities, rights, and obligations of both parties. 5. Health Care Worker: Describes the specific profession or occupation of the contractor, which involves providing healthcare services to individuals. This could include doctors, nurses, therapists, or other professionals in the healthcare industry. 6. Client: Refers to the party or entity hiring the healthcare worker as an independent contractor. This could be a healthcare facility, hospital, medical practice, or any other organization in need of healthcare services. 7. Terms and Conditions: Encompasses the various provisions, stipulations, and requirements that both parties must comply with during the course of the agreement. 8. Services: Specifies the healthcare services the independent contractor will provide to the client. This may include medical consultations, surgical procedures, therapy sessions, diagnostic evaluations, or any other specific services agreed upon by the two parties. 9. Responsibilities: Outlines the obligations of the independent contractor, such as maintaining licensure or certifications, adhering to professional standards and ethics, providing services with due care and skill, maintaining necessary liability insurance, and maintaining patient confidentiality. 10. Compensation: Details the payment arrangement between the contractor and the client, including the agreed upon fee structure, payment method, frequency, and any additional expenses or reimbursements. 11. Term: Defines the duration of the agreement, stating the exact start and end date or outlining whether it is an ongoing or renewable agreement. 12. Termination: Specifies the conditions under which either party can terminate the agreement, including breach of contract, non-performance, or other agreed-upon circumstances. 13. Other Types: While the specific types of Wisconsin Self-Employed Independent Contractor Agreement with Health Care Worker may vary, alternative types could include agreements for locum tenens healthcare workers, traveling nurses, or specialized healthcare professionals, each with specific terms and conditions tailored to their unique circumstances and requirements.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.
