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Independent Contractor Agreement for Health Care
Independent Contractor Agreement for Health Care
This Independent Contractor Agreement (“Agreement”) is made this _____ day of
______________, 20___, between Purdue University, its employees, officers, trustees, affiliates,
regional campuses, agents and representatives (hereinafter referred to as “Purdue”) and
_________________________________ (hereinafter referred to as “Provider”).
In consideration of the mutual promises herein contained, the parties agree as follows:
1. Independent Contractor. Provider agrees to provide the professional services described
herein as an independent contractor. It is mutually understood and agreed that Provider is
at all times acting and performing these duties and functions in the capacity of an
independent contractor; that Purdue shall neither have nor exercise any control or
direction over the methods by which Provider performs Provider’s services, nor shall
Purdue and Provider be deemed partners. Purdue shall have the right to determine what
services shall be provided, but not the manner in which services shall be provided. It is
expressly agreed by the parties hereto that no work, act, commission or omission by
Provider pursuant to the terms and conditions of this Agreement shall be construed to
make or render Provider the agent, employee or servant of Purdue. Provider shall be
responsible for the payment of all federal, state and local taxes incurred as a result of this
Agreement, and further agrees to indemnify and hold Purdue harmless from the same.
2. Services. Provider agrees to provide professional health care services to Purdue at
______________________________________________ (name of clinic and location),
as requested by Purdue. Provider agrees to perform such services, at all times, in strict
accordance with currently approved and accepted methods and practices in his or her
profession. Provider further agrees to provide services in a professional, timely and
competent manner, and to comply with all applicable procedures and policies of Purdue
and the clinic. Provider agrees to provide such services as may be requested by Purdue
and as needed to discharge the duties and obligations of this Agreement. Purdue and
Provider will agree in advance upon a mutually acceptable schedule for Provider’s
services to Purdue.
3. Licensure and Professional Liability Insurance
. As a condition of this Agreement, the
Provider shall maintain all applicable licenses and certification requirements and shall at
all times during the term of this Agreement, meet all requirements of the State of Indiana
or other regulatory entity for such licensing, certification or credentialing. Provider shall
maintain in force throughout the term of this Agreement such policies of professional
liability insurance as shall be required to qualify Provider for coverage under the Indiana
Medical Malpractice Act (the “Act”), and to insure Provider against any claim or claims
for damage arising by reason of personal injuries or death occasioned directly or
indirectly in connection with the performance or any service provided hereunder in such
amount as shall be required from time to time under the Act. Provider shall demonstrate
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Independent Contractor Agreement for Health Care