Contracts

Ask staff to sign this agreement, showing that they understand the need to protect patient confidentiality.

Specialists, use this waiver if a patient forgot his referral. It says that the patient agrees to pay for services rendered that are not covered by his managed care company.

Is your practice “Red Flags” ready? Here are several forms to help you develop a policy to comply with the Federal Trade Commission’s Red Flags Rule, which requires creditors to implement programs to prevent and detect identity theft. Here you’ll find a document with a policy, board resolution, and contract addendum. Just replace “Our Medical Group” with the name of your practice, and you’re on your way.

Do you know what’s in your partnership contract? Poorly designed or nonexistent contracts can spell disaster for you and your practice. Here’s how to make sure you’re protected.

Records Release Form -- Spanish

Referral Waiver -- Spanish

Consent to Treat -- Spanish

Consent to Treat

Records Release Form

If you can't verify a patient's insurance, their signature on this form shows they know they are responsible for payment.

This Advance Beneficiary Notice form, created by CMS, is best managed by the clinical team at your medical practice versus the front office staff.

One partner wants to retire; the other two want to buy him out. The only problem: They can’t agree on the terms, and things are getting heated.