AFFILIATION AGREEMENT
This Affiliation Agreement (hereinafter referred to as Agreement) is made and entered into on ___________________ Between HAPPY JOINTS INC. of 43 East Sussex Ave, Sewell, NJ 08080 (hereinafter referred to as “Medical Practice”) and_______________________________ (hereinafter referred to as “Affiliate”) together referred to as “parties”.
WHEREAS the Medical Practice and the Affiliate desire to implement a contractual relationship to govern and bind their Affiliation Agreement.
NOW, THEREFORE, the parties agree to be bound by the following terms; –
- PURPOSE
The purpose of this Agreement is to provide a mobile sports medicine practice for the evaluation and treatment of patients inside a nursing home and assisted living facilities.
- TERM
This Agreement shall be for a term of ______ years effective from the date indicated hereinabove.
The Agreement shall be open for renewal once the same has been requested by either of the parties in writing before the lapse of the term indicated above.
- RESPONSIBILITIES
- Responsibility of the Affiliate.
- Will provide staff members for the orientation.
- Will allow access to their residents for visitation.
- Will allow access to their medical records for the patients.
- Will allow the Medical Practice to bill the patient’s insurance directly.
- Responsibility of the Medical Practice.
- We will provide orientation to the Affiliate staff on how to use the mobile sports medicine practice.
- Will provide 24 hours assistance services regarding the mobile sports medicine practice.
- Will secure and maintain the mobile medical practice.
- Will comply with current policies in place by the Affiliate.
- FINANCIAL RESPONSIBILITY
The parties agree that they will be responsible for the salary and benefits of all their respective employees.
The Affiliate agrees to compensate the Medical Practice for their services to their patients.
The Medical Practice agrees to provide the installation together with training on the mobile service usage to the Affiliate.
- PROFESSIONAL LIABILITY INSURANCE
The parties herein agree to maintain their professional liability insurance coverage for all their respective employees.
- INDEMNITY
Neither of the parties shall assume any liability to each other. In case of any injury, claims, or damages, each party does not waive its right to defense.
- TERMINATION
This Agreement may be terminated by either party with or without reason by issuing a thirty (30) days prior written notice to the other party.
The termination of this Agreement shall not extinguish the rights and responsibilities that may have accrued before the termination of this Agreement.
- NO ASSIGNMENT
No party to this Agreement may assign, delegate or subcontract their duties, responsibility, or any part of this Agreement to a third party without prior written consent from the other party.
- CONFIDENTIALITY
The parties agree that any information obtained in the cause of carrying out the duties and obligations and in fulfillment of the terms of this Agreement is confidential information that shall not be shared with any third parties without the prior written consent of the parties involved.
Failure to abide by the above will be deemed a breach of the term of this Agreement, and the culprit will be held liable for any claims or damages that may arise from the disclosure.
- SEVERABILITY
Suppose any provision of this Agreement is found to be invalid or unenforceable by a court of competent jurisdiction. In that case, such provision will be severed and shall not affect the validity of the remaining provisions.
- ENTIRE AGREEMENT
This Agreement constitutes the entire Agreement between the parties herein and supersedes any other agreement or promises between the parties subject to the matter herein.
- MODIFICATIONS
Parties herein may modify the provisions of this Agreement by mutually agreeing and signing a written addendum to the same.
- GOVERNING LAW
This Agreement shall be interpreted and governed by the laws of the state of _________.
IN WITNESS THEREOF, the parties have caused this Agreement to be signed on the aforementioned date and year.
HAPPY JOINTS INC.
By: ______________________________________ Date: ___________________
Co-President – VIREL PRAJAPATI
By: ______________________________________ Date: ___________________
Co-President – MITESH PATEL
(AFFILIATE)
By: ______________________________________ Date: ___________________
At Legal writing experts, we would be happy to assist in preparing any legal document you need. We are international lawyers and attorneys with significant experience in legal drafting, Commercial-Corporate practice and consulting. In the last few years, we have successfully undertaken similar assignments for clients from different jurisdictions. If given this opportunity, The LegalPen will be able to prepare the legal document within the shortest time possible. You can send us your quick enquiry ( here )