PROFESSIONAL AND ADMINISTRATIVE SERVICES AGREEMENT [NAME of SERVICE, e.g., EMERGENCY SERVICES]Professional and Administrative Services Agreement • January 12th, 2018 • Georgia
Contract Type FiledJanuary 12th, 2018 JurisdictionThis Professional and Administrative Services Agreement (“Agreement”) is entered into effective [March 1, 20XX] (“Effective Date”) by and between [Legal name of Hospital], a Georgia nonprofit corporation (“Hospital”) and [Legal name of Physician Entity], a [Type of legal entity, such as Georgia professional corporation or general partnership] (“Contractor”). Together, Hospital and Contractor are the “Parties,” and each is a “Party.”