You can open the Physician Partnership Agreement Template in multiple formats, including PDF, Word, and Google Docs.
Physician Partnership Agreement Template Printable | Editable FormSample
[Name of Physician 1]
[Physician 1’s ID]
[Physician 1’s Address]
[Physician 1’s Phone]
[Physician 1’s Email]
[Name of Physician 2]
[Physician 2’s ID]
[Physician 2’s Address]
This agreement formalizes the partnership between the parties for the purpose of providing medical services, effective as of [Contract Start Date].
The partners will collaborate to provide comprehensive medical care and associated services, with a focus on [specific specialties or services offered].
Each Physician agrees to contribute the following resources and efforts: [Detail specific contributions, such as capital, equipment, and personnel].
Profits and losses will be shared according to each party’s ownership interest as follows: [Specify percentage or formula].
This partnership shall commence on [Start Date] and shall continue until terminated in accordance with this agreement.
The partnership may be dissolved under the following conditions: [Specify conditions and notice periods].
The partners shall keep all patient and business information confidential and shall not disclose such information without consent.
This agreement will be governed by the laws of [State/Jurisdiction].
[Signature of Physician 1]
[Name of Physician 1]
[Signature of Physician 2]
[Name of Physician 2]
[Name of Physician 1]
[Physician 1’s ID]
[Physician 1’s Address]
[Physician 1’s Phone]
[Physician 1’s Email]
[Name of Physician 2]
[Physician 2’s ID]
[Physician 2’s Address]
This partnership agreement establishes the terms and conditions under which the partners will operate a medical practice together, commencing on [Contract Start Date].
The partners will jointly manage patient care services, including but not limited to [List services, e.g., general practice, specialized treatments].
Each partner agrees to make initial financial contributions as follows: [Detail financial amounts or percentages].
The financial management of the partnership will be handled by [Designated Partner or Mechanism], with detailed accounting procedures outlined in [refer to attachment or annex].
In the event of a dispute, the partners shall engage in mediation, and if unresolved, shall submit to arbitration in accordance with the laws of [State/Jurisdiction].
Any amendments to this agreement must be made in writing and signed by both partners.
Each partner agrees to indemnify and hold harmless the other from any claims arising out of their actions or decisions made in the course of the partnership.
The terms and conditions of this agreement shall be governed by the laws of [State/Jurisdiction].
[Signature of Physician 1]
[Name of Physician 1]
[Signature of Physician 2]
[Name of Physician 2]
Form
Please complete the form below to create the Physician Partnership Agreement Template. All fields must be filled out to ensure a clear and comprehensive agreement. We provide examples to guide you through each step. Physician Partnership Agreement Template 1. Partnership Information 2. Partner Information 3. Agreement Details 4. Purpose of Partnership 5. Contributions of Partners 6. Profit and Loss Distribution 7. Decision Making and Responsibilities 8. Dispute Resolution 9. Termination Clauses 10. Signatures and Acceptance 11. Declaration and Signatures
PDF
WORD
Physician Partnership Agreement Template Printable | Editable FormPrintable
