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9+ Medical Service Agreement Templates

A medical service agreement template is a contractual agreement between the employer/client and the medical service provider. It ensures that the service provider fulfills only those medical services that are mentioned in the agreement and provides services only to the specified parties. This ensures that the client is not billed for unnecessary services and protects the service provider from any liability issues. This accuracy and professionalism is critical to success, and that’s what medical service agreements ensure.

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5 Steps to Write a Medical Service Agreement

Step 1: Use a Formal Contract Structure

While there are no specific standards, it is advisable to draw up a medical service agreement just like any other formal contract. State all the points in lucid language, and use articles to divide the agreement into sections for easier understanding. You can also divide each section into sub-sections using letters and/or numbers.

Step 2: Specify the Exact Kind of Care to Be Given

This usually constitutes a whole section of the agreement, and is a critical part as it defines exactly what the service provider is entitled to do for the patient. The section should include details on the exact level and nature of care, as well as the hours of care each day.

Step 3: Specify Who Will Be Providing Care

It is critical to define who is authorized to provide care to the patient or patients under the terms of the agreement. In case the appointed individuals of the medical service provider are unable to provide care at any time, the contract should include the terms of how a substitute will be arranged and on what grounds they will be chosen.

Step 4: Add Exhibits Where Needed

In case the service details relevant to your agreement are highly complex, you can incorporate the details in the form of an exhibit at the end of the contract. Exhibits can also be used to include lists of necessary medical supplies or detailed daily regimes that the patient must be made to follow. 

Step 5: Add a Confidentiality Clause

This an exceedingly important addition, as it holds the medical service provider responsible for keeping the client’s business and medical information private. The clause should stipulate exactly what constitutes a breach of confidentiality as well as the steps to be taken for reparation.

9+ Medical Service Agreement Templates

1. Caregiver Services Agreement Template

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  • PDF

Size: 448 KB

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This is a simple 2-page template that details the duties of a caregiver for a patient. Apart from duties with regard to medication, it also specifies the provision of meals, the cleaning and disinfecting of the premises and personal care needs. It is ideal when the caregiver will be tending to the patient on a live-in basis.

2. Medical Service Agreement Template

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  • PDF

Size: 302 KB

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This is a detailed medical service agreement that is a good option when the client is a public organization like a governing body. The first part of the sample service agreement template contains the definitions of all the terms used in the main content, thereby making it convenient for both parties to understand.

3. Basic Medical Services Template

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  • PDF

Size: 73 KB

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This is a medical simple service agreement template for a physician who is being hired to provide medical services to a community or physician group. This includes a blank space for any exhibits that either party wishes to add on to the main agreement.

4. Clinical Medical Services Agreement Template

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  • PDF

Size: 35 KB

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This template is a simple and crisp one designed to state the terms and conditions of a contractor providing medical services to a community. It elucidates the main points in the body of the service agreement contract template, including the nature of service provided and the billing & records procedures, with remuneration explained separately in the appendix.

5. Onepage Healthcare Services Agreement Template

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  • PDF

Size: 217 KB

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This is a clean and simple template documenting an agreement between a medical service provider and a company which is enlisting the services of the provider for its employees. Apart from defining all relevant terms and providing space for equipment and tests required, the service contract template also includes full details of the audit process.

6. Modern Medical Billing Services Agreement

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Size: 123 KB

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This 4-page medical service agreement uses a clean and lucid format to include all relevant details and can be downloaded for free as a PDF. It is an ideal option in cases where the terms and conditions are fairly simple and no exhibits or appendices are needed.

7. General Medical Services Contract Template

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  • PDF

Size: 3 MB

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This sample contract agreement template lays out a medical service agreement format as approved by the governing health body of UK. It allows for the incorporation of complex detail and is ideal when the agreement is of a sensitive nature – for instance, when one of the parties is a public organization like a state government.

8. Sample Medical Services Agreement Template

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  • PDF

Size: 64 KB

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This is a simple template that documents the agreement between the physician and the patient on a retainer model. You can download the template for free and copy-paste it onto a document to edit it as per your needs.

9. Simple Medical Service Agreement

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  • PDF

Size: 354 KB

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This clean template uses a simple format that details the agreement between a healthcare provider and a patient. It includes details such as the exact nature and schedule of services to be provided as well as the circumstances under which services may not be provided.

10. Healthcare Services Agreement Template

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  • PDF

Size: 192 KB

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This is a clean and detailed medical service agreement that can be downloaded for free and edited as an sample contract agreement between a healthcare service provider and a large organization. Apart from defining all relevant terms, it lays down the exact services to be provided in the exhibits and also mentions the terms and conditions of documentation required.

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