AGREEMENT FOR LANGUAGE INTERPRETATION AND TRANSLATION SERVICES

Originated: Aug 2009

Revised: December 2010

AGREEMENTFORLANGUAGEINTERPRETATION

ANDTRANSLATIONSERVICES



ThisAGREEMENTFORLANGUAGEINTERPRETATIONANDTRANSLATIONSERVICES(“Agreement”)isenteredintoeffect

__________

__________________, (“

EffectiveDate”),byandbetweenIntermountainMedicalImagingLLC(“IMI”)and

_______________________________________,(“Contractor”).



IMIandContractoragreetothefollowingterms:

1.DUTIESANDRESPONSIBILITIESOFCONTRACTOR:ContractorshallprovidetoIMIlanguagetranslationand/orinterpretation

servicesonanasneede

dbasisattimesmutuallyagreeduponbytheparties.

2.COMPENSATIONFORSERVICES:IMIshallcompensateContractorfortheservicesrenderedpursuanttothisAgreementatan

hourlyrateof$25.00perhour.Contractorshallbecompensatedinaminimumamountofonehourforse

rvicesactuallyrendered.

Paymentforservicesrenderedinexcessofthefirsthoursshallbeproratedtothenextquarterhour.Allinvoicessubmittedby

ContractortoIMIforpaymentshallbeaccompaniedbydocumentationdetailingthenumberofhoursandminutesContractor

workedprovidingtheservicestoIMI,thedatesuchserviceswererendere

d,thepatient(s)name,Patient(s)dateofbirth,the

patient’slanguageandthestartandstoptimeofsuchservicesthatwereprovidedandanyotherinformationreasonablyrequested

byIMI.Ifinvoicesarenotcompletedasrequested,IMIreservestherighttowithholdpaymentuntilnecessarydocumentationis

completed.Intheeventapa

tientthatyouareinterpretingfordoesnotarrive/showfortheirappointment,nopaymenttothe

contractorwillbemade.TraveltimeandexpensesarethesoleresponsibilityoftheContractorandarenotreimbursablebyIMI.

3.CONFIDENTIALITY:ContractoracknowledgesthatIMIiscommittedtoprotectingtheprivacyofitspatientsaspertheFederal

Government’sHIPAAregulations.Co

ntractorunderstandsthathe/shewillhaveaccesstoprotectedhealthinformation

(documentationand/ororalcommunications,relatingtoanindividual’smedicalhistory,diagnosis,condition,treatment,or

evaluation)andotherinformationanddocumentsthatarenotgenerallyknowntoorreadilyas

certainablebyothers.Contractor

acknowledgesthathe/shehasaresponsibilitytokeepsuchinformationconfidentialandnotdisclosetoanyoneexceptthe

appropriateIMIworkforcemember.ContractorunderstandsthathisorherfailuretorespecttheprivacyofIMIclientsandfamily

andtomaintainstrictconfidentialityofallprotectedhe

althinformationwillsubjectContractortoimmediateremovalfromthe

premises,civilsanctions,and/orcriminalpenalties.Althoughcontractorisconsideredtobeprovidingservicesintreatmentofthe

patientsofIMIandthusnota“BusinessAssociateofIMI,ContractoragreesthatshouldIMIdeterminethataBusinessAssociate

Agreementisr

equired,ContractorwillexecuteandComplywithIMI’sstandardAgreement.Furthermore,Contractoragreesthatall

protectedhealthinformationthatContractorhasinelectronicformatshallatalltimesbesecured,andthatanyelectronic

transmissionofprotectedhealthinformationshallbebysecuremeansonly.

4.TERMSANDTERMINATIONS:Thisa

greementshallcommenceuntiloneoftheparties(IMIorContractor)terminatesthe

agreementinwriting.IMIreservestherighttocancelAgreementatanytime.

Originated: Aug 2009

Revised: December 2010

5.RELATIONSHIPOFTHEPARTIES:NothinginthisAgreementshallbeconstruedtocreateanemploymentoragencyrelationship

betweentheparties.TherelationshipbetweenIMIandContractorisandshallremainthatofindependentpartiestoacontractual

relationshipassetforthinAgreement.Allincometax,unemploymentinsurance,Social

Securityoranyotherwithholdingpursuant

toanylaworrequirementofanygovernmentalbodywithrespecttoservicesrenderedunderthisAgreementarethesole

responsibilityofContractor,whichresponsibilityContractoragreestocarryoutasrequiredbyapplicablelaw.NoPartyisauthorized

orpermittedtoactas

anagentoremployeeoftheotherParty.EachPartyshallberesponsibleforitsownactsoromissions,and

anyliabilityorpenaltiesthatmayresulttherefrom.

6.MISCELLANEOUS:ThisAgreementshallbeinterpretedbythelawsoftheStateofIdahoandconstitutestheentireagreement

betweenthe

Parties,andsupersedeallotheragreementsandunderstandings,writtenororal,betweentheParties.

7.STATEMENTOFAGREEMENT:ByinitialingtheitemslistedbelowtheContractorunderstandsthattheseareconditionsof

paymentbyIMI.TheContractoragreestoprovideservicesandacknowledgesthatthisAgreementwillbedissolvedifthreeformal

complaintsbyIMIstaffarereported.Contractorwillbenotifiedinwritingifcomplaintshavebeenmadeand/orAgreementis

dissolved.Paymentmaybedelayedorcanceledifservicesdonot

meettheconditionsofthisAgreement.

 NOTtakecellphonecallswhileworkingandkeepphoneonmuteorvibrate

 MaintainclientconfidentialityinaccordancewithHIPAA

 Willdressappropriatelyandberespectful

 Beontime.Willbepaidforupto15minutesearlyarrivalpriortoscheduledappointmenttime

 Willprovideaminimumof24hoursnoticeofcancellationtoIMIstaffandwillnotifypatient

 Willonlyprovideservicestoonepatient/personatatime

 Staythedurationoftheappointment

 NOTexpecttonorwillbepaidtointerpretforfamilyorhouseholdmembers 

 CompleteIMI’sInterpretiveServicesformcompletelyandsubmittoIMIstaffbeforeleaving

 Submitinvoiceforpaymentwithin10businessdaysofservicesrendered



INWITNESSWHEREOF,thePartieshavesignedthisAgreementeffectivethedatefirststatedabove



________________________________________________________________________________________

IMIREPRESENTATIVE‐SignatureCONTRACTOR‐Signature



_______________________________________________________________________________________

PrintedNamePrintedName



__________________________________________________________________

TitleInitials