Agreement For Medical Services Template for Philippines

1. Emergency Services: Include when emergency medical services are part of the scope, detailing specific protocols and response times

2. Specialized Medical Procedures: Add when specific complex procedures require additional terms and conditions

3. Telemedicine Services: Include when remote medical services are offered, detailing technical requirements and limitations

4. Third-Party Payments: Add when insurance companies or other third-party payers are involved

5. Medical Equipment Usage: Include when specific medical equipment is provided to the patient for home use

6. Visiting Medical Professionals: Add when services involve visiting or consulting healthcare providers

7. Research and Clinical Trials: Include when medical services involve research or experimental treatments

8. Training and Education: Add when medical services include patient education or training components

1. Schedule A - Fee Schedule: Detailed breakdown of fees for different medical services and procedures

2. Schedule B - Service Locations: List of approved facilities where medical services will be provided

3. Schedule C - Authorized Medical Procedures: Comprehensive list of medical procedures covered under the agreement

4. Schedule D - Required Documentation: List of medical and administrative documents required from both parties

5. Schedule E - Quality Standards and Protocols: Detailed medical service standards and clinical protocols

6. Appendix 1 - Consent Forms: Standard consent forms for various procedures

7. Appendix 2 - Privacy Policy: Detailed privacy policy and data protection procedures

8. Appendix 3 - Emergency Protocols: Emergency response procedures and contact information