Recovery RN LLC
NURSING SERVICES AGREEMENT ( Please read in it's entirety)
This Nursing Services Agreement (this “Agreement”) is entered into as of the the date below, by and between Recovery RN LLC (“Independent Nurse Contractor”) and (above name individual (“Client”). Each Nurse Provider and Client may be referred to in this Agreement individually as a “Party” and collectively as the “Parties.”
WHEREAS, Independent Nurse Contractor provided certain nursing services, as defined below, and Independent Nurse Contractor desires to provide (sell) such nursing services under the terms and conditions set forth in this Agreement; and
WHEREAS Client desires to purchase the Services offered for sale by Independent Nurse Contractor under the terms and conditions set forth in this Agreement.
NOW THEREFORE, in consideration of the mutual promises and for other services and valuable consideration exchanged by the Parties as set forth in this Agreement, the Parties, intending to be legally bound, hereby mutually agrees as follows:
1. Sale of Nursing Services. Independent Nurse Contractor (Recovery RN LLC) agrees to provide an agreed upon service package which will be carried out at the Clients desired location (home, hospital, or hotel), and Client agrees to specified package prices
2. Payment Agreement. Client will pay to Recovery RN LLC for the services and for all obligations specified in this Agreement, if any, as the full and complete purchase price, according to package chosen on client intake form.
Examples of Nursing Services that are provided with packages:
Transportation from Surgery Center to place of recovery. Transport to surgery must be arranged by client.
Monitoring for comfort and complications
Vital Signs
Medication reminders
Meal assistance (client to provide food)
Pharmacy and grocery pick up
Assistance with Walking and Range of motion
Bathroom Assistance, basic hygiene
Shower assistance + assistance with compression garment
Drain Care and Output measurement of applicable
Monitoring of Surgical Site(s)
Post Op Education
Basic Medical Supplies such as chucks, pads, gauze
Care coordination, surgeon communication
All package times begin at the time nurse arrives to your surgery facility for pickup. We will give you the nurse's phone number and request that the facility call the nursee to give a one hour notice for pick up. The nurse will arrive according to this call or messsage from the faclity. Time begins upon nurse arrival even if discharged is delayed by the facility. The nurse will remain at the facility until you are discharged.
Please note that 1 hour is alotted for nurse travel each day.
Packages hours run consecutively each day and are divisible as follows
4 Hours (one day)
8 Hours (divisible up to a max of two days)
12 Hours (divisible up to a max of 3 days)
18 Hours (divisible over a max of 2 days with 12 being overnight)
24 Hours (divisible over 3 days up to a max of 6 days, may use 12-24 hours for overnight care)
Total care hours provided are not to exceed the package hours purchased.
Additional Hours: If additional hours are requested, they may be added on as available in increments of 4 hours. Add on hours are billed at $150/hr for 4 addtional hours. Requested hours 8+ will be billed at $125/hr.
Additional Transport (outside of pick up after surgery): Transportation may be provided for ONE post op appointment within Tampa, FL between the hours of 9am-2pm, with a maximum driving distance of 20 miles from your place of recovery to the facilty. It is recommended that you stay close to your facility if your post op appointments will be scheduled for the day or two after your surgery. We will need to be notified of your post op appointment time 24 hours prior so that we may adequately plan to serve you optimally.
Clients must schedule the Premium (8 hour) package or higher to insure that you have enough hours for transport to your post op appointment. The nurse will need to account for travel to you, pick up, transporting you to the facility, waiting during your appointment, and then transporting you back to your place of recovery. This will require a minimum of four hours available. Clients may prefer to use their nursing hours for care rather than transport, we are flexible with your preference.
Transport is provided within nursing package hours only. Please plan ahead to coordinate appointment times within the hours above with your facility if you would prefer us to transport you. Most facilities schedule within the 9am-2pm timeframe, if your appointment is later, we may be able to accomodate this, however we are unable to accomodate appointments prior to 9am, nor appointments or pick up locations outside of Tampa, FL.
Also included with all packages:
Phone access to NP via telehealth during package and for 24 hours after completion of service, please note, this is for general questions and check ins during normal business hours. For urgent or emergency situations, should call 911 and/or the surgery facility.
3. Scheduling & Cancellation Policy
Scheduling Deposit Requirement
To secure your post-operative recovery package, a 50% deposit of the total package price is required at the time of booking. Your reservation is not confirmed until this deposit has been received and acknowledged in writing. This deposit guarantees the scheduling of your nursing care and reserves your recovery dates.
Refunds & Cancellations
We understand that surgery schedules may change for various reasons. To balance client flexibility with operational planning, our refund policy is as follows:
• If cancellation occurs more than 14 days (2 weeks) prior to your scheduled surgery date:
• You will receive a 25% refund of the total deposit amount.
• Any payment made in excess of the 50% deposit (i.e., if you paid more than the required deposit in advance) will be refunded in full, provided that cancellation is communicated in writing and meets the time criteria.
• If cancellation occurs within 14 days (2 weeks) of your scheduled surgery date:
• The full 50% deposit becomes non-refundable, regardless of reason.
• Any payments made above the deposit amount may be refunded at our discretion upon submission of supporting documentation. Acceptable documentation may include, but is not limited to:
• Written notice of surgical cancellation from your surgeon’s office
• Medical necessity documentation
• Hospital admission records
• Rescheduled surgery confirmations
We reserve the right to review and verify documentation prior to approving any refund requests.
Add-On Hours
Should you require additional hours of nursing care beyond your original package, they may be purchased at a rate of $125 per hour, in blocks of 4 hours. Advance notice is required, and additional hours are subject to nurse availability.
By submitting your deposit, you acknowledge and agree to these terms in full.
4. Delivery of Services. Service Provider will provide the agreed upon services for the Client on the scheduled dates at the clients place of recovery. Your surgery date is held only upon completion of the client intake, this service agreement, and the 50% invoice deposit/payment in full. Dates are not held without a deposit. Payment in full is required if scheduling within two weeks of your procedure.
5. Right of Inspection. Client shall be allowed to ask any questions or voice any concerns prior to receiving services and shall do so before receiving any type of mind-altering medications on procedure day. Once sedative or mind-altering medications are given, a next of kin or power of attorney for the client can act as the client regarding this contract.
6. Force Majeure. Independent Nurse Contractor shall not be responsible for any claims or damages resulting from any delays in performance or for non-performance due to unforeseen circumstances or causes beyond Independent Nurse Contractor’s reasonable control.
7. Limitation of Liability. Independent Nurse Contractor will not be liable for any indirect, special, consequential, or punitive damages (including lost profits) arising out of or relating to this Agreement or the transactions it contemplates (whether for breach of contract, tort, negligence, or other form of action) and irrespective of whether Independent Nurse Contractor has been advised of the possibility of any such damage. In no event will Independent Nurse Contractor ‘s liability exceed the price paid by the client to Independent Nurse Contractor for the services provided to rise to the claim or cause of action.
8. Amendments. No amendment to this Agreement will be effective unless it is in writing and signed by both Parties.
9. Governing Law. The terms of this Agreement shall be governed by and construed in accordance with the laws of the State of Florida, not including its conflicts of law provisions.
10. Disputes. Any dispute arising from this Agreement shall be resolved in the courts of the State of Florida.
11. Entire Agreement. This Agreement contains the entire understanding between the Parties and supersedes and cancels all prior agreements of the Parties, whether oral or written, with respect to such subject matter.
12. Waiver. No Party shall be deemed to have waived any provision of this Agreement or the exercise of any rights held under this Agreement unless such waiver is made expressly and in writing. Waiver by any Party of a breach or violation of any provision of this Agreement shall not constitute a waiver of any other subsequent breach or violation.
13. Miscellaneous. This Agreement shall be binding upon and inure to the benefit of the Parties and their respective heirs, successors, and assigns. The provisions of this Agreement are severable. If any provision is held to be invalid or unenforceable, it shall not affect the validity or enforceability of any other provision. The section headings herein are for reference purposes only and shall not otherwise affect the meaning, construction, or interpretation of any provision of this Agreement. This Agreement may be executed in one or more counterparts, each of which shall be deemed an original and all of which together, shall constitute one and the same document.
14. Indemnification and Hold Harmless I agree to indemnify and hold Recovery RN LLC including without limitation any of its respective officers, directors, employees, representatives, agents, as well as all associated entities harmless from any and all liability, claims, actions, suits, causes of action, costs, attorney fees, expenses, and damages of whatever kind or nature including but not limited to personal injury, accidents, complications, as well as claims which relate to or arise out of or in connection with utilizing this service.
15. Transportation Waiver: In consideration of the risk of injury while participating in transportation provided by Recovery RN LLC, and as consideration for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, and do hereby release and forever discharge Recovery RN LLC and it’s representatives, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors, and assigns, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages, economical, or emotional loss, that I may suffer as a direct result of participation in the aforementioned Activity, including traveling to and from an event related to this activity.
16. Photo Release.
I hereby absolutely and irrevocably authorize Recovery RN as well as their legal representatives, assignees, and transferees to use, publish, reuse, republish, distribute, disseminate or otherwise make publicly available for any artistic or commercial use, including advertising, publication, or illustration images of me (NO public use of photos will display client's face) and/or my property, of the following description:
taken in whole or in part, whether individually or collectively with any other material, in any and all forms of media now or hereinafter known and/or developed, including, but not limited to, in print media, in digital media, on the Internet, in composite images, or distorted images or for any other lawful use as may be determined by Recovery RN LLC. The artist shall specifically be permitted to use fictitious names in conjunction with the images.
I further completely release and discharge Recovery RN LLC from any and all demands or claims that may arise out of or otherwise be connected with the use of the photographs and video featuring me, my image or my property, including, without limitation, and any all claims for the violation of a right of publicity, a right of privacy, or libel. I also waive any and all rights to approve or otherwise review any uses of the photographs and video featuring me, my image or my property.
This authorization and release shall inure to the benefit of the legal representatives,licensees, heirs and assignees of Recovery RN LLC and shall also be binding upon me, my heirs, assignees, and legal representatives.
By signing below the client is also indicating understanding of the following:
The private nursing services provided under this agreement are not reimbursable by insurance.
Recovery RN LLC is not a home care agency and is a provider of private enhanced nursing and recovery assistance services.
I acknowledge that I am signing this agreement freely and voluntarily and intend by my signature to be a complete and unconditional release of waiver of all liability to the greatest extent allowed by law.
I understand that recovery support services are not a replacement for medical care, emergency care, or guidance from my treating physician or surgeon.
I the client have read this this agreement in it's entirety,
I, the client am using my true identity and payment information for the services to be provided.
CANCELLATIONS: YOU, THE CLIENT, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO 7 DAYS BEFORE THE DATE OF SERVICE. Payment for services is NONREFUNDABLE other than as mentioned above.