Medical & Office Services
Owner
Paula A. Davies
Dependable, Professional, Affordable, Service.
804 Lake St.
Ogdensburg, NY 13669
Phone: 315-393-7321
Fax: 315-393-7321
E-mail: Davmarpad@msn.com
Website: www.davmarpad.com
Welcome
AGREEMENT FOR TRANSCRIPTION SERVICES
THIS AGREEMENT, made the ________ day of ________,________,
Under the laws of the State of New York.
BETWEEN DAVIES TRANSCRIPTION SERVICE, whose address is 804 Lake Street, Ogdensburg, NY 13669, (hereinafter called “Contractor”) and__________________________________________________________
whose address is ________________________________________________
(hereinafter called “client”).
GENERAL TERMS: In consideration of mutual promises and agreements of the parties hereto, the Contractor agrees to provide transcription services of Client according to the terms set forth hereinbelow:
1. Client is responsible for arranging for pick up and delivery of materials. Contractor will, upon request and whenever practicable, pick up and deliver materials to clients within the city of Ogdensburg limits.
2. Transcription services shall be provided by Contractor in accordance with the Client’s documentation guidelines and form. All digital files, voice files, documents, patient’s log sheets that are stored as digital data will be encrypted and stored under HIPAA guidelines, as well as all physical paper documents, patient’s logs, dictation tapes will also be stored under HIPAA guidelines.
3. Contractor represents that it will be available to Client, if needed, to answer questions and/or consultations.
4. Client agrees to provide Contractor with prescanned tapes, identified as to patient, ID, type of report and name of the dictator. Contractor agrees to preserve Client’s tapes.
5. Contractor agrees to keep patient and Client information confidential. All client’s documents will be shredded or otherwise destroyed prior to disposal. Client files will be protected from unauthorized viewing and computer files shall be encrypted. All digital files, voice files, documents, patient’s log sheets that are stored as digital data will be encrypted and stored under HIPAA guidelines, as well as all physical paper documents, patient’s logs, dictation tapes will also be stored under HIPAA guidelines. Contractor will not retain a patient or Client names on any database after completion or termination of this agreement.
6. Contractor represents that transcription services are usually completed within 48 hours. If contractor will require a longer period of time, Client shall be timely notified when the transcription service will be completed.
7. Contractor shall provide billing invoices to Client semi-monthly, on the 1st and 15th of each month that services are performed or an outstanding balance exists. Client shall be entitled to a one percent (1%) discount for all payments received by Contractor within ten (10) days of invoicing. All outstanding balances over thirty (30) days shall be charged interest at 1.5% per month. Payments shall be made to Contractor at the above – listed address unless a different address is specified in writing.
8. Contractor will provide plain white paper for transcription. If Client desires the transcription on other paper or letterhead, Client shall provide Contractor with an adequate supply, as well as envelops.
9. Upon request, Contractor will provide additional copies of transcripts to Client at (15¢) per page.
10. Contractor will archive all transcribed documents on CD disks ( or other appropriate archive system ) at no cost to Client. All digital files, voice files, documents, patient’s log sheets that are stored as digital data will be encrypted and stored under HIPAA guidelines, as well as all physical paper documents, patient’s logs, dictation tapes will also be stored under HIPAA guidelines. One yearly copy on CD-R of all work completed will be given to the client free of charge. Additional copies of CDs can be obtained by Client for ten dollars ($10.00) per copy.
11. Contractor’s fees for transcription services are:
Contractor will apply a volume discount of 11% off the total weekly fees will be applied for 80 pages or greater, which is equal to a total line count per week of 2137, which is equal to 80 pages. Less than 80 pages per week, the standard charge will apply.
12. Any modification or waiver or any of the provisions of this Agreement shall be effective only if made in writing and executed with the same formality as this Agreement. A failure of either party to insist upon strict performance of any of the provisions of this Agreement shall not be construed as a waiver of any subsequent default of the same or similar nature.
13. This Agreement contains the entire understandings of the parties, and there are no representations, warranties, covenants, or undertakings other than those expressly set forth herein.
15. LIABILITY WAIVER: Contractor will review each transcript for accuracy and spelling. Client acknowledges and agrees that the final responsibility for insuring the accuracy of the transcript rests with the Client. Client agrees to waive liability against Contractor and it’s employees, agents and representatives except for breach of this Agreement. In addition, Client agrees to hold Contractor harmless against any claims arising out of the performance of this Agreement which might be asserted by third parties
Contractor will not endorse computer-authenticated or other artificial signatures.
IN WITNESS THEREOF, the Contractor and Client have read and respectively signed this Agreement as of the day, and year first above written.
DAVIES TRANSCRIPTION SERVICE
By : Paula Davies ______________________________
_________________________________
CLIENT
Paula A. Davies
Davies Transcription Service
804 Lake St,
Ogdensburg, NY
13669
Phone: 315-393-7321
Fax: 315-393-7321
E-mail: Davmarpad@msn.com
Website: www.davmarpad.com
05/02/2007
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