Tennessee Collaborative Practice Agreement Template

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Sample

Tennessee Collaborative Practice Agreement Template

Printable | Editable Form




Tennessee Collaborative Practice Agreement Template (1)
Between:
[Name of the Professional 1]
[Professional 1’s ID]
[Professional 1’s Address]
[Professional 1’s Phone]
[Professional 1’s Email]
And:
[Name of the Professional 2]
[Professional 2’s ID]
[Professional 2’s Address]
Introduction:
This Collaborative Practice Agreement is established on [Effective Date] to outline the collaborative process by which the Parties will work together to assist their clients in resolving issues amicably.
Clause 1: Purpose of the Agreement
The purpose of this Agreement is to promote a collaborative approach to dispute resolution, aiming to minimize conflict and foster cooperation between the Parties.
Clause 2: Scope of Services
The Professionals agree to provide services including, but not limited to: mediation, negotiation, and advisory assistance during collaborative sessions.
Clause 3: Client Participation
Both Parties acknowledge that the clients will actively participate in the collaborative process and that their full disclosure and cooperation are essential for the success of the agreement.
Clause 4: Fees and Payment
The Parties agree that the fees for professional services will be established as follows: [Specify fee structure], and payment will be due within [Specify payment terms].
Clause 5: Confidentiality
The Professionals agree to uphold strict confidentiality regarding all communications and documents shared during the collaborative process, as required by Tennessee law.
Clause 6: Termination of Agreement
This Agreement may be terminated by either Party if the collaborative process fails to provide constructive results after [Specify number] sessions, or upon mutual consent.
Clause 7: Governing Law
This Agreement shall be governed and interpreted in accordance with the laws of the State of Tennessee.
Signed in [City], [Date].
Sincerely,
[Signature of the Professional 1]
[Name of the Professional 1]
[Signature of the Professional 2]
[Name of the Professional 2]
Tennessee Collaborative Practice Agreement Template (2)
Between:
[Name of the Professional 1]
[Professional 1’s ID]
[Professional 1’s Address]
[Professional 1’s Phone]
[Professional 1’s Email]
And:
[Name of the Professional 2]
[Professional 2’s ID]
[Professional 2’s Address]
Introduction:
This Collaborative Practice Agreement is created to ensure a structured process for collaboration that respects the interests and needs of both parties and their clients.
Clause 1: Intent
The intention of the Parties is to settle matters through mutual cooperation rather than traditional litigation, thereby reducing stress and fostering positive relationships.
Clause 2: Definition of Services
The specific services provided under this Agreement shall include: [List specific services such as consultations, document drafting, etc.].
Clause 3: Client Engagement
Both Professionals confirm that the clients are to be engaged fully in all aspects of the collaborative process and they will jointly agree to their representation.
Clause 4: Fee Structure
The fee structure shall be outlined as follows: [Describe terms, amounts, and payment intervals], which shall be agreed upon prior to engagement.
Clause 5: Confidentiality Agreement
The Parties shall maintain confidentiality in all communications, except as required by law or if agreed to in writing by all involved parties.
Clause 6: Duration and Termination
The Agreement shall remain in effect until the completion of the collaborative process, unless terminated by either Party for reasonable cause with written notice.
Clause 7: Conflict Resolution
In the event of a dispute arising under this Agreement, the Parties agree to engage in mediation prior to seeking legal action.
Clause 8: Jurisdiction
This Agreement shall be governed by the laws of the State of Tennessee, and any disputes shall be addressed in the appropriate Tennessee jurisdictions.
Signed in [City], [Date].
Sincerely,
[Signature of the Professional 1]
[Name of the Professional 1]
[Signature of the Professional 2]
[Name of the Professional 2]

Form

Please complete the form below to create the Tennessee Collaborative Practice Agreement Template. All fields must be filled out to ensure a clear and comprehensive agreement. We provide examples to guide you through each step.

Tennessee Collaborative Practice Agreement Template

1. Collaborating Professionals





2. Patient Information


3. Agreement Details


4. Roles and Responsibilities

5. Scope of Collaboration

6. Communication Protocols

7. Confidentiality Agreements

8. Dispute Resolution

9. Signatures and Acceptance

10. Declaration and Signatures





PDF


WORD

Printable

Tennessee Collaborative Practice Agreement Template

Printable | Editable Form




Tennessee Collaborative Practice Agreement Template