Preamble & Parties

This Client Services Agreement (the "Agreement") is entered into and made effective as of ____________________, 20____ (the "Effective Date"), by and between:

Provider: Prestige Mobile Vascular Access LLC, a Missouri Limited Liability Company, having its principal place of business in Pevely, Missouri ("Provider"), and

Client: ____________________________________________________________________ ("Client"), with its principal place of business located at ____________________________________________________________________.

1. Engagement and Scope of Services

Client engages Provider, and Provider accepts engagement, to provide specialized, professional, RN-led mobile vascular access and catheter placement services (including PICC line and midline insertions) to patients under the care of Client, as requested by Client and accepted by Provider.

2. Independent Contractor Status

Provider performs services as an independent contractor and is not an employee, partner, or agent of Client. Provider shall be solely responsible for the payment of all federal, state, and local taxes, withholding, unemployment insurance, and social security contributions arising out of Provider's compensation. Provider retains sole control over the manner, methods, and means of performing professional clinical services.

3. Equipment, Supplies, and Facility Responsibilities

A. Facility Infrastructure: Client remains strictly responsible for securing valid physician orders, maintaining primary patient medical charts, providing appropriate medical waste disposal infrastructure on-site, and fulfilling all institutional care coordination.

B. Equipment and Supplies Option (Select One):

4. Compensation, Fees, and Invoicing

Client shall compensate Provider for services rendered based upon the selected compensation structure indicated below. Provider shall submit invoices directly to Client via email, and Client shall remit payment in full within thirty (30) days of receipt of invoice.

COMPENSATION STRUCTURE (SELECT ONE):

5. Insurance and Credentialing

Provider covenants to maintain active professional malpractice (liability) insurance and general liability insurance throughout the term of this Agreement. Upon request, Provider shall furnish a Certificate of Insurance (COI), current Missouri Registered Nurse license credentials, and IRS Form W-9.

6. HIPAA Compliance and Confidentiality

Both parties agree to strictly comply with all applicable federal and state healthcare privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA). Each party shall protect the confidentiality of Protected Health Information (PHI) accessed in connection with this Agreement.

7. Term and Termination

This Agreement shall commence on the Effective Date and shall remain in full force and effect until terminated by either party. Either party may terminate this Agreement at any time, with or without cause, upon providing thirty (30) days prior written notice to the other party. Notwithstanding the foregoing, either party may terminate this Agreement immediately upon written notice in the event of an immediate threat to patient safety, loss of professional licensure, or material breach of regulatory compliance.

8. Governing Law

This Agreement shall be governed by, construed, and enforced in accordance with the laws of the State of Missouri, without regard to its conflict of laws principles.

IN WITNESS WHEREOF, the parties hereto have executed this Client Services Agreement as of the Effective Date written above.