Health Services Forms

Prepare a Residential Care Agreement for patients of a care facility in Scotland with this ready-made template form.

• This Agreement can be used for either short term or long term care.
• The fees paid by the patient (resident) will be based on a financial assessment carried out in accordance with the National Assistance (Assessment of Resources) Regulations 1992.
• If the resident has to temporarily live away from the care facility, the caregiver will keep the accommodation available for the resident and reduce the fee payable.
• The resident, his/her family and the caregiver will develop a plan of care which will be reviewed regularly to ensure that it continues to meet the resident's needs.
• The caregiver will provide accommodation, food, laundry, social care services, and comforts, and maintain the standard of care required by the Regulation of Care (Scotland) Act 2001. The resident is responsible for providing his/her clothing, toiletries and personal items.
• The caregiver will maintain a safe and healthy environment for residents, and will ensure that procedures are in place to manage dispensing of medication.
• Available in MS Word format and fully customisable to fit your particular circumstances.
• Intended to be used only within Scotland.

You have a right to get paid for medical services rendered. Get patients to sign this Tennessee Patient Consent and Doctor's Lien when providing treatment for third party injuries.

• The patient consents to the release of his/her medical information to support the patient's personal injury claim.
• The patient will be liable for paying the full amount of the medical provider's fees, whether or not the claim is successful.
• The medical service provider has an irrevocable lien on any settlement or damages awarded to the patient and the patient's attorney is instructed to satisfy the lien out of those proceeds.
• The patient will notify the medical provider if he/she retains new legal counsel.

The Tennessee Patient Consent and Doctor's Lien form will ensure that your bills are paid. Download it today.

Secure payment of your medical fees by getting your patients to sign this Texas Patient Consent and Doctor's Lien Agreement before treatment begins.

• The patient authorizes the doctor / hospital to release any information about his/her injury and treatment for purposes of the personal injury claim.
• Regardless of the outcome of the injury claim, the patient is personally responsible for paying the fees.
• The medical provider has an irrevocable lien over any amounts awarded to the patient. The patient's attorney is directed to satisfy the lien out of the settlement funds.
• This is a reusable legal form. Once you've purchased it, you can use it as often as you like.
• The template can be customized for your specific business needs.
• Intended for use only in the State of Texas.

Rent space in a wellness facility to a therapist for treatment, consultation and therapy purposes with this easy-to-use rental contract form.

• The contract can be used for monthly or weekly rentals.
• The rental fee covers use of the treatment room for sessions during regular business hours. After hours appointments must be pre-approved and will be charged out at an additional rate.
• The wellness facility will provide reception service, client parking, use of washrooms and common areas, and other services.
• The therapist must provide proof of professional certification and evidence of liability insurance coverage.
• The contract template includes provisions for advertising by the therapist on the facility's website and social media pages.
• This is a generic agreement form that can be used in most jurisdictions.
• Buy and download the template, customize it for your business and use it as often as you need to.

Do you provide home care workers for assisted living clients in the USA? Write up your client contracts quickly and easily with this Home Care Provider Agreement.

• The caregiver will work for the client on the days and at the times that the parties agree to.
• The caregiver will provide services such as cooking, bathing, driving and other duties that the client cannot perform for him/herself.
• Provisions for termination of the agreement before and after a specified probationary period.
• The caregiver agrees to keep record of any accidents and to report to the company.
• Any party in breach of the agreement shall pay reasonable attorney's fees or costs incurred by the other party.

Don't leave the hospital open to additional claims when settling a claim from a patient. Get the patient to sign this Release of Damages Claim as a condition of the settlement.

• The Release form is for medical damages claims in the United States.
• The patient releases the hospital from its present claim and from any future claims for damages, costs, expenses or compensation with respect to treatment the patient received in the hospital.
• The release is documentary evidence of full and complete settlement of the claim, and is intended to avoid litigation.
• This is a reusable legal form. When you purchase it, you can download it, save it, print it, use it as often as you like.

Protect yourself and your massage business against claims for injury or damages with this Waiver for Massage Therapy form.

• Get your patients to sign the Waiver form before you provide services.
• The patient acknowledges the risks inherent to the procedure, and states that his/her participation in the massage session is voluntary.
• The patient assumes all risk associated with the massage therapy.
• The patient releases the clinic and the therapist from any liability.
• Available in MS Word format. Easy to customize, re-usable.

This ready-made set of Website Terms of Use are created especially for fitness businesses that offer online workouts, exercise and diet plans, and health and wellness products.

• These Terms of Use can be used for online fitness services that are available to users in the United States and Canada. The template includes provisions covering:
  • memberships, orders, shipping, pricing and taxes;
  • privacy, collection of personal information;
  • prohibited use of the website;
  • disclaimer of warranties;
  • content submitted by users;
  • disclaimer of medical and professional advice;
  • assumption of risk and participation waiver;
  • indemnification and release, limitation of liability;
  • dispute resolution by arbitration;
  • buyer's right to cancel provisions, under Canadian laws.
• The Terms of Use template comes in MS Word format and is easy to edit to fit your exact needs.
• The file can be easily converted to formats for online use, such as HTML.

Make sure your fees for medical services get paid. Have your patients sign this Wisconsin Doctor's Lien and Patient Release.

• You can claim a lien for the fees for medical services provided to a patient with respect to accidents or injuries caused by third parties (including injuries sustained on the job).
• The patient must give his/her consent for the release of any medical information required for purposes of the patient's injury claim.
• The medical practitioner has an irrevocable lien on any settlement or damages awarded. The amount of the lien will be paid from any damages or settlement amounts paid to the patient.
• Regardless of whether or not the patient's injury claim is successful, the patient remains legally liable for paying the full amount of the fees.

Don't risk not getting paid. Download this Wisconsin Doctor's Lien and Patient Release Form for your facility.

WY health care providers, preserve your lien rights for medical services rendered with this Wyoming Patient Consent and Doctor's Lien form.

• The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim regarding the accident or injury for which the patient is being treated.
• The patient agrees to be personally liable for paying the medical provider's fees regardless of the outcome of the patient's claim.
• The patient gives the medical provider an irrevocable lien on any settlement or damages awarded to the patient and directs his/her attorney to satisfy the lien out of those proceeds.
• The patient will notify the medical provider if he/she retains new legal counsel.

Don't risk not getting paid. Download the Wyoming Patient Consent and Doctor's Lien form for your billing office.