The Health Service Agreement serves as a fundamental legal instrument in Indonesian healthcare delivery, establishing the framework for professional medical services provision. This document is essential when formalizing relationships between healthcare providers and recipients, whether individual patients or corporate clients. It encompasses crucial elements including service scope, quality standards, confidentiality requirements, and payment terms, all aligned with Indonesian healthcare regulations such as the Health Law (UU No. 36/2009) and Medical Practice Law (UU No. 29/2004). The agreement is particularly vital for healthcare facilities, medical practices, and corporate health service arrangements, providing clear guidelines for service delivery while ensuring compliance with local healthcare standards and patient protection requirements.
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1. Parties: Identification of the healthcare provider and the client/patient, including registration details and licensing information
2. Background: Context of the agreement, including the provider's qualifications and the general scope of healthcare services to be provided
3. Definitions: Detailed definitions of technical terms, medical terminology, and contract-specific phrases used throughout the agreement
4. Scope of Services: Detailed description of healthcare services to be provided, including primary care, specialist services, and any limitations
5. Service Standards: Quality standards and compliance with Indonesian healthcare regulations and professional medical standards
6. Rights and Obligations of Healthcare Provider: Detailed responsibilities of the healthcare provider, including service delivery, confidentiality, and professional standards
7. Rights and Obligations of Patient: Patient responsibilities, including providing accurate information, following treatment plans, and payment obligations
8. Fees and Payment Terms: Detailed fee structure, payment methods, and terms including insurance arrangements if applicable
9. Confidentiality and Data Protection: Provisions for handling patient data and medical records in accordance with Indonesian law
10. Medical Records Management: Procedures for maintaining, accessing, and sharing medical records
11. Emergency Procedures: Protocols for handling medical emergencies and urgent care situations
12. Liability and Indemnification: Allocation of risks and responsibilities between parties, including professional liability
13. Term and Termination: Duration of the agreement and conditions for termination
14. Dispute Resolution: Procedures for handling disputes, including mediation and legal recourse
15. Governing Law: Specification of Indonesian law as governing law and relevant jurisdictional matters
1. Insurance Coverage: Details of insurance arrangements and coverage - include when insurance is part of the service package
2. Specialized Treatment Protocols: Specific procedures for specialized medical treatments - include for specialized medical services
3. Telemedicine Services: Provisions for remote healthcare services - include when offering virtual consultations
4. Third-Party Services: Terms for external laboratory tests or specialist referrals - include when third-party services are part of care
5. Research and Clinical Trials: Terms for participation in medical research - include for teaching hospitals or research institutions
6. International Patient Services: Special provisions for international patients - include when serving non-Indonesian residents
7. Medical Equipment Usage: Terms for use of specific medical equipment - include when equipment provision is part of service
8. Home Care Services: Provisions for home-based healthcare - include when offering home care services
1. Schedule A - Service Fee Schedule: Detailed breakdown of fees for different medical services and procedures
2. Schedule B - Standard Operating Procedures: Detailed clinical procedures and protocols for various medical services
3. Schedule C - Quality Assurance Standards: Specific quality metrics and standards for healthcare delivery
4. Schedule D - Emergency Contact Protocol: List of emergency contacts and detailed emergency response procedures
5. Schedule E - Facility Details: Information about medical facilities, equipment, and resources available
6. Appendix 1 - Required Forms: Standard forms for patient intake, consent, and other administrative requirements
7. Appendix 2 - Insurance Information: Details of accepted insurance providers and coverage requirements
8. Appendix 3 - Patient Rights Charter: Detailed explanation of patient rights and responsibilities under Indonesian law
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