These forms have been shared with NNOHA by security clinics across the country for use in your dental program. Browse the forms in five different categories: If there is a “trial period,” check the first box. This statement should be set further if this option is selected. First enter the number of “days after the start of employment” if this trial period can be considered effective. Then select the box to be rated on this statement to indicate which party is free to terminate this contract during that time. You can mark the first box to be contributed if only the practitioner can terminate this contract, the second box to be contributed if the employer is the only one who can terminate that contract, or the third, if one of the parties can choose this contract during the trial period. In the following example, the practitioner and employer may terminate this agreement for a 10-day trial period. If there is no trial period, check the instruction of the box to be rated with the words “No trial period.” The fourth article, “4th Site,” allows us to quickly document where the practitioner will work for that employer. Two instructions have been provided for this statement, “Specific Location” and “At-Will Rental,” which you must choose one to apply. If the practitioner has to work on a “specific site” for that employer, mark the first box to be rated. You must indicate the address, city and condition of the premises where the practitioner must be physically present in the three empty spaces of this section. If the employer chooses where the practitioner needs to be physically present to work and assign it to a specific project, mark the “At-Will Rental” instruction.

The fifth article, “V. Practitioner`s Availability,” provides some valuable information on the requirements and constraints that this document puts in place when the employer requires the practitioner to work. Both parties should read this section appropriately. In the article entitled “A.) Work schedules,” the number of days per week when the employer`s business is open to work, the length of the week the employer is normally open, and document daily hours when the employer is open for business. The dental contract is a contract between a licensed practitioner and the professional unit for the use of services for salary, percent of the company or at the level of the partnership. The dentist is required to work a minimum amount of hours, usually 30-40 hours per week, and have their payment based on the type of services that are provided. People tend to do autopilot when faced with paperwork. Discuss this form and its contents with the patient, and make sure the patient really understands it before requesting a signature.