Health Service Agreement Template for Indonesia

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Key Requirements PROMPT example:

Health Service Agreement

"I need a Health Service Agreement for my private medical clinic in Jakarta, Indonesia, to establish a formal arrangement with corporate clients for providing annual health check-ups and primary care services to their employees, with the agreement starting from March 2025."

Document background
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.
Suggested Sections

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

Optional Sections

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

Suggested Schedules

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

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions
Clauses
Relevant Industries

Healthcare

Medical Services

Insurance

Corporate Services

Pharmaceutical

Medical Devices

Healthcare Technology

Wellness and Prevention

Employee Benefits

Public Health

Relevant Teams

Legal

Compliance

Medical Operations

Risk Management

Quality Assurance

Patient Services

Administrative Operations

Corporate Relations

Insurance Coordination

Healthcare Operations

Contract Management

Policy and Procedures

Relevant Roles

Medical Director

Hospital Administrator

Legal Counsel

Compliance Officer

Healthcare Facility Manager

Clinical Services Director

Chief Medical Officer

Risk Management Officer

Operations Manager

Quality Assurance Manager

Contract Manager

Healthcare Policy Director

Patient Services Coordinator

Corporate Benefits Manager

Insurance Relations Manager

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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