Essential Elements of a Medical Director Agreement
Every medical director agreement must include these core components:
Parties and Effective Date
- Legal names of all parties
- Business entity information
- Agreement start date and term length
- Renewal provisions
Scope of Medical Director Responsibilities
Clearly define the physician's duties:
- Medical oversight and supervision requirements
- Protocol development and review
- Staff training responsibilities
- Quality assurance activities
- On-call availability requirements
- Emergency response protocols
Physician Authority and Independence
The agreement must establish:
- Complete physician control over medical decisions
- Authority to refuse inappropriate procedures
- Right to modify clinical protocols
- Independence from business pressure
This independence is critical for CPOM compliance.
Supervision Standards
Detail how supervision will occur:
- On-site presence requirements (if any)
- Remote oversight procedures
- Communication protocols
- Documentation requirements
- Patient chart review frequency
Compensation Terms
Specify payment arrangements:
- Compensation amount and structure
- Payment schedule
- Expense reimbursement
- Billing and payment procedures
Ensure compensation is reasonable and doesn't undermine physician independence.
Staff Training and Protocols
Define the physician's role in:
- Initial staff training requirements
- Ongoing education obligations
- Protocol development process
- Protocol review and updates
- Documentation of training completion
Quality Assurance and Compliance
Include provisions for:
- Regular patient chart reviews
- Outcome tracking and reporting
- Adverse event reporting procedures
- Compliance audits
- Corrective action processes
Term and Termination
Address agreement duration and ending:
- Initial term length
- Renewal process
- Termination notice requirements
- Termination for cause provisions
- Transition responsibilities upon termination
Liability and Insurance
Specify insurance requirements:
- Medical malpractice coverage amounts
- Who provides coverage
- Additional insured requirements
- Indemnification provisions
Compliance with Laws
Include commitments to:
- Follow all state and federal regulations
- Maintain required licenses
- Comply with medical board rules
- Meet continuing education requirements
State-Specific Requirements
Your agreement must address specific state regulations:
Texas
Must include:
- Detailed delegation protocols
- Documentation of "adequate supervision"
- Emergency response procedures
- Specific training requirements
California
Requires provisions showing:
- True physician independence
- Physician control over medical decisions
- Protection from business interference
- Compliance with CPOM laws
Florida
Must specify:
- "Responsible supervision" standards
- On-site vs. remote oversight protocols
- Practitioner scope of practice limitations
- Documentation requirements
Common Template Mistakes to Avoid
Generic templates often miss:
- State-specific legal requirements
- Proper independence protections
- Adequate supervision detail
- Required documentation provisions
- Appropriate termination protections
Using a generic template can result in CPOM violations even if both parties intend to comply.
When to Customize Your Template
You need a customized agreement when:
- Operating in multiple states
- Offering high-risk procedures
- Using multiple medical directors
- Employing varied practitioner types
- Facing unique state requirements
Updating Your Agreement
Review and update your agreement:
- Annually at minimum
- When regulations change
- When adding new services
- When changing supervisory arrangements
An outdated agreement can create compliance gaps.
Getting Legal Review
Have an experienced healthcare attorney review your agreement before signing. This protects both parties and ensures compliance with:
- State corporate practice of medicine laws
- Medical board regulations
- Professional liability requirements
- Tax and employment law implications
Learn more in our complete Med Spa Compliance Guide, including state-specific medical director requirements and supervision standards.
Generate your state-compliant Medical Director Agreement in 5 minutes - AI-drafted for $49, or get full attorney review for $349. Get Started →