Physician Services Agreement Template: Scope, Fees and Duties

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Physician Services Agreement Template

This Physician Services Agreement is made on [Date] by and between:

Client: [Hospital / Clinic / Medical Group / Company Name]

Address: [Address]

Physician: [Physician Full Name]

Address: [Address]

1. Services

The Client engages the Physician to provide the following professional services:

[patient care services]

[medical oversight]

[supervisory services]

[on-call coverage]

[telemedicine services]

[consulting services]

[other physician services]

The Physician will provide only the services described in this Agreement unless the parties agree otherwise in writing.

2. Service Location and Scope

The services will be provided at:

[Facility Name / Address / Remote Platform / Other]

The Physician’s service scope includes:

[Describe specialty, department, patient population, hours, or assigned duties]

3. Term

This Agreement begins on [Start Date] and continues until [End Date], unless ended earlier under this Agreement.

The services shall be provided on the following basis:

☐ full-time

☐ part-time

☐ as-needed coverage

☐ fixed schedule

☐ consulting engagement

☐ other: [Describe]

4. Schedule and Availability

The Physician shall provide services according to the following schedule:

[Days / Hours / Shifts / Call Coverage]

Scheduling notes, if any:

[Insert details]

Any schedule change, coverage change, or absence notice shall be handled as follows:

[Insert terms]

5. Compensation

The Client shall pay the Physician as follows:

☐ hourly rate of [$Amount] per hour

☐ per-shift rate of [$Amount]

☐ annual compensation of [$Amount]

☐ monthly fee of [$Amount]

☐ consulting fee of [$Amount]

☐ other: [Describe]

Payment terms:

☐ upon receipt of invoice

☐ within [Number] days of invoice date

☐ payroll schedule

☐ monthly

☐ other: [Describe]

6. Expenses and Benefits

Expenses and benefits shall be handled as follows:

☐ no separate expenses reimbursed

☐ pre-approved business expenses reimbursed

☐ benefits provided as follows: [Describe]

☐ other: [Describe]

Additional terms, if any:

7. Licensure and Credentials

The Physician represents that the Physician holds and will maintain all required licenses, registrations, certifications, privileges, and professional qualifications needed to perform the services.

The Physician shall promptly notify the Client of any suspension, restriction, investigation, lapse, or disciplinary action affecting the Physician’s ability to provide services.

8. Compliance and Standards

The Physician agrees to perform services in a professional manner and in compliance with:

applicable laws and regulations;

facility bylaws, rules, and policies, if applicable;

professional standards of care;

documentation and recordkeeping requirements;

privacy and confidentiality obligations.

Additional compliance terms, if any:

9. Insurance

The following insurance terms apply:

☐ Physician shall maintain professional liability insurance

☐ Client shall provide professional liability coverage

☐ coverage shall be shared or provided as follows: [Describe]

Coverage details, if applicable:

[Insert policy limits or coverage notes]

10. Medical Records and Confidentiality

Medical records, patient information, and other confidential information shall be handled in accordance with applicable privacy laws, facility policies, and professional obligations.

Ownership and control of records shall be handled as follows:

11. Independent Contractor or Employment Status

The Physician shall serve as:

☐ independent contractor

☐ employee

☐ other: [Describe]

If the Physician is an independent contractor, the Physician is responsible for the Physician’s own taxes, business expenses, and related obligations unless this Agreement states otherwise.

12. Termination

Either party may terminate this Agreement:

☐ on [Number] days’ written notice

☐ immediately for material breach

☐ immediately for loss of license, credential, or required authorization

☐ immediately for patient safety or compliance concerns

☐ under the following additional terms: [Describe]

If this Agreement ends early, payment for services properly performed and approved costs already incurred shall remain due unless otherwise agreed in writing.

13. Governing Law

This Agreement shall be governed by the laws of the state of [State].

14. Entire Agreement

This Agreement contains the full understanding between the parties regarding the physician services described above and replaces prior discussions on the same subject unless otherwise stated in writing.

15. Signatures

Client Signature: __________________________

Name: [Full Name]

Title: [Job Title]

Date: [Date]

Physician Signature: __________________________

Name: [Physician Full Name]

Date: [Date]

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Physician Services Agreement Template: Scope, Fees and Duties

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Physician Services Agreement Template — quick answers

Reviewed July 2026 Free download, PDF & DOCX

What is a physician services agreement?

A physician services agreement is a written contract between a physician and a clinic, hospital, medical group, company, or other client for professional medical services. It usually explains the services to be provided, the schedule, compensation, compliance expectations, and the responsibilities of both sides. It helps set clear expectations before the professional relationship begins.

Why do you need a physician services agreement?

You need a physician services agreement to clearly define the working relationship and reduce misunderstandings. It helps explain what medical or consulting services will be provided, how and when the physician will be paid, what scheduling or coverage obligations apply, and what standards must be followed. A written agreement also helps with recordkeeping, credentialing, and administrative review.

When should you use a physician services agreement?

Use a physician services agreement when a physician is being engaged to provide patient care, medical oversight, consulting, supervisory services, call coverage, telemedicine services, or other professional support. It is commonly used by hospitals, practices, healthcare companies, staffing groups, and organizations that want the service terms confirmed in writing.

How to write a physician services agreement?

Start with the names of the physician and the client, then describe the professional services and the service location or scope. After that, include the term of the engagement, compensation, scheduling expectations, licensing and compliance requirements, insurance terms, and termination rights. Finish with confidentiality, independent contractor language if applicable, and signature lines so the agreement is clear and ready to use.

Can AI Lawyer help if administrators, physicians, and compliance teams all need to review?

AI Lawyer can help by organizing the agreement into clear sections so each reviewer can find the relevant details quickly. It can also add internal reference fields, service notes, and placeholders that make updates easier to track. A consistent structure helps reduce repeated edits and lowers the chance of missing key details like service scope, compensation terms, scheduling duties, or compliance requirements before the agreement is signed.

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