Phone  239 351 6616

This is a sample contract.  Each contract I make is based on this sample.  This is to help give you an idea about some details I think are important.  We can add or adjust items. The fees/compensation may be changed to reflect costs of travel and lodging upon mutual agreement.

Article I
Relief veterinarian responsibilities and requirements
The relief veterinarian will:

  1. Have current state license to practice veterinary medicine.
    1. WA VT 4388
    2. HI HE 740
    3. FL VM 14014
    4. PA  BV 015056
    5. MA 8439, CS Reg # 809168
    6. OR 8059
    7. Additional state license will be applied for upon signed contract agreement.
  2. USDA-Aphis Category 1 Accredited in WA and FL # 003672 for interstate movement.
  3. Provide own professional liability insurance/License Defense. (AVMAPLIT)
  4. Maintain DEA certificate.
  5. Be responsible for own FICA and Federal withholding taxes.
  6. Carry copies of all relevant licenses.
  7. Be responsible for own travel and business expenses unless otherwise specified.
  8. Work the scheduled hours.
  9. Be available to complete the day’s work and emergency patients admitted by the clinic.
  10. Provide veterinary care in the form of professional exam, diagnoses, treatment, nursing care, dentistry, surgery, consultation and professional recommendations to patrons on hospital premises.
  11. Practice veterinary medicine under the guidelines of the State Veterinary Practice Act, and be competent in medicine and surgery in dogs and cats.
  12. Practice in a professional and ethical manner.
  13. Determine the means and/or method of performing duties contracted.
  14. Determine on a case-by-case basis to complete any surgery, dentistry or procedure.
  15. Utilize current pain management protocols.

The relief veterinarian will not:

  1. Crop ears.
  2. Complete surgery, dentistry or other procedures without acceptable pain, anesthesia, fluid therapy, thermal support, post-operative/post-procedural management strategies.
  3. Complete surgery, dentistry or other procedures without acceptable technical support and instrumentation.
  4. Give prophylactic antibiotics to sterile surgeries or standard dentistries.
  5. Subcontract the scheduled times unless mutually agreed upon with documentation via text, email or other reproducible format.

Article II

Employing clinic responsibilities

  1. The clinic will provide a safe, clean, well-equipped working environment.
  2. The clinic will provide a supply of commonly used in-date drugs and supplies.
  3. The clinic will provide sufficient number of properly trained staff to complete normal support staff duties.
  4. The relief veterinarian may utilize all clinic staff, drugs and equipment.
  5. The clinic will file IRS Form-1099 for Independent Contractors for the relief veterinarian (EIN).
  6. The clinic will provide workers compensation insurance for ‘temporary employee’ if there is a work place incident. (Dr. Bennett has had no work related injuries so far).
  7. The clinic will designate a specific staff member responsible for determining whether after hours emergencies will be seen by the relief veterinarian or referred to an emergency facility.
    1. Name of designated person: _______________________________________

Article III

Terms of Contract

  1. The relief Veterinarian is hired for the dates and times listed below.
  2. The fee charged is: See link for basic fee informations
  3. This contract is in effect for the dates outlined below and terminates at the close of the business day on the last day contracted.
  4. A deposit may be required.
  5. Payment for the contracted time per shift should be available at the end of the shift for a single shift or at the last day worked of the week if several days contracted for the week.
  6. Payment should be made on the last day of each week when multiple weeks are scheduled unless otherwise arranged.
  7. Invoice for unanticipated times will be provided weekly.
  8. Final payment is due upon receipt of invoice.
  9. Preferred payment form is ACH transfer. Routing# 063102152 Acct # 1000203115331 alternatively make checks payable to Lisa Bennett, DVM.
  10. This contract may be terminated prematurely only if:
    1. Both parties mutually agree due to differences of personality, practice style or client satisfaction.
    2. The relief veterinarian becomes disabled and is unable to fulfill the requirements of Article I. The deposit for any unfulfilled shifts will be returned.
    3. Upon delinquent payment greater than 72 hours.
  11. Practice is liable for all expenses and legal fees incurred in collection of payment for services. Litigation will be in Manatee County Florida.
  12. Late payment fee will be assessed an additional fee of 5% of the outstanding balance per month.
  13. Interests on late payments accrue at 1.5% monthly.

Article IV

Patient files and documents

All patient files, documents and records are the property of the clinic. Forms, price lists, handouts, and other documents may not be removed or copied without permission from the clinic.

Article V

Cancellation

  1. Client shall email and/or text notice of cancellation of specific service appointments. Cancellation will not be in effect until acknowledged by Lisa Bennett, DVM, CVA.
  2. Any shift cancelled will be immediately invoiced and payment due.
  3. If cancelled in advance of contracted start date:
    1. >12 weeks ahead incur 10% fee.
    2. 8-12 weeks ahead incur 30% fee.
    3. 7-8 weeks ahead incur 50% fee.
    4. 4-6 weeks ahead incur 60% fee.
    5. 2-3 weeks ahead incur 70% fee.
    6. 11-14 days ahead incur 80% fee.
    7. 5-10 days ahead incur 90% fee.
    8. Cancellations less than 96 hours ahead incur 100% fee.
  4. If cancelled during the contract:
    1. Cancellation due to delinquent payment (> 72 hours) during the contracted time incur 100% fee of all further shifts.
    2. All fees are immediately due and payable.
  5. Client will pay for any non-refundable travel, lodging and rental car costs.

Article VI

Termination of Contract

  1. By mutual agreement with documented mutual acknowledgement such as emails or texts of both parties.
  2. Malpractice and/or unethical conduct by either party.
  3. Failure to remit payment as agreed herein.
  4. Subject to cancellation fees as noted in Article V.

___________________________________________________      ________________________

Lisa Bennett, DVM, CVA                                                                     Date

___________________________________________________      ________________________

Practice Owner (Printed and Signature)                                            Date

Shifts:

 

DATES                                                      TIMES

As listed above or:

Month                         ­­­­­­­­­­­­­­­­­­­­­­­­­­­________________________                        _______________________

Month                         ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­________________________                        _______________________

Month                         ________________________                        _______________________

Month                         ________________________                        _______________________

Please jot down anything in particular that may help working at your clinic.