Create a bespoke document in minutes, Â or upload and review your own.
Get your first 2 documents free
Your data doesn't train Genie's AI
You keep IP ownership of your information
Doctor's Office Financial Agreement
"I need a Doctor's Office Financial Agreement for my small family medical practice in California that includes specific provisions for telehealth services and a detailed payment plan option for uninsured patients, to be implemented by March 2025."
1. Parties: Identification of the medical practice and patient
2. Background: Context of the agreement and relationship between parties
3. Definitions: Key terms used throughout the agreement
4. Financial Responsibility: Patient's obligations regarding payment for services
5. Insurance Information: Details about insurance billing and patient responsibilities
6. Payment Terms: Payment methods, timing, and late payment consequences
7. Signatures: Execution section for all parties
1. Payment Plans: Optional section detailing terms for installment payments when practice offers payment plan options
2. Collections Policy: Optional section outlining process for handling unpaid accounts when practice uses external collections agencies
3. Cancellation Policy: Optional section specifying terms for appointment cancellations when practice charges cancellation fees
1. Fee Schedule: List of common procedures and their costs
2. Insurance Information Form: Template for collecting insurance details
3. Payment Plan Agreement: Standard payment plan terms and conditions
Authors
Find the exact document you need
Health Care Contracts
U.S. healthcare contract template incorporating federal and state healthcare regulations, designed for establishing compliant healthcare service relationships.
Doctor's Office Financial Agreement
A U.S. healthcare contract establishing financial terms between medical providers and patients, compliant with federal and state regulations.
Medical Report Letter From Doctor
A HIPAA-compliant medical documentation prepared by a U.S. licensed physician detailing patient's condition, treatment, and prognosis for official purposes.
Medical Non Compete Agreement
A U.S. healthcare sector agreement restricting medical professionals from competing with their former employer within specified parameters, subject to state-specific regulations.
Healthcare Non Compete Agreement
A U.S. healthcare sector agreement restricting medical professionals from competing with former employers, subject to federal and state regulations.
Doctor Patient Agreement
A U.S.-compliant legal agreement establishing the terms and conditions of the relationship between healthcare providers and their patients.
Personal Medical Services Contract
A U.S.-compliant agreement establishing terms for medical service delivery between healthcare providers and patients.
Medical Director Independent Contractor Agreement
A U.S. healthcare contract establishing terms for physician leadership services as an independent contractor medical director.
Medical Billing Independent Contractor Agreement
A U.S.-compliant agreement between healthcare providers and independent medical billing contractors, governing billing services and regulatory compliance.
Custodian Of Medical Records Agreement
A U.S. legal agreement establishing terms for the maintenance and management of medical records in compliance with HIPAA and state regulations.
Health Care Agreement
A U.S.-governed agreement establishing healthcare service delivery terms and regulatory compliance requirements between healthcare entities.
Healthcare Arbitration Agreement
A U.S. legal agreement requiring healthcare disputes between providers and patients to be resolved through arbitration rather than court litigation.
Medical Records Custody Agreement
A U.S. legal agreement governing the transfer and maintenance of medical records between healthcare providers and designated custodians, ensuring HIPAA compliance.
Health Care Service Provider Agreement
A U.S.-governed agreement establishing terms for healthcare service provision, ensuring regulatory compliance and defining service parameters.
Medical Payment Plan Agreement
A U.S. legal agreement establishing payment terms between healthcare providers and patients for medical services.
Medical Self Pay Agreement Form
A U.S. healthcare document establishing direct payment terms between provider and patient without insurance involvement.
Medical Director Agreement
A U.S. healthcare contract establishing terms for physician leadership services in compliance with federal and state regulations.
Agreement For Medical Services
A U.S.-compliant contract establishing terms and conditions for the provision of healthcare services between medical providers and patients.
Medical Confidentiality Agreement
A US-compliant agreement protecting confidential medical information and establishing HIPAA-aligned handling procedures.
Download our whitepaper on the future of AI in Legal
³Ò±ð²Ô¾±±ð’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; ³Ò±ð²Ô¾±±ð’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
Our bank-grade security infrastructure undergoes regular external audits
We are ISO27001 certified, so your data is secure
Organizational security
You retain IP ownership of your documents
You have full control over your data and who gets to see it
Innovation in privacy:
Genie partnered with the Computational Privacy Department at Imperial College London
Together, we ran a £1 million research project on privacy and anonymity in legal contracts
Want to know more?
Visit our for more details and real-time security updates.
Read our Privacy Policy.