Medical malpractice compensation agreement 1 party a: name, address and identity information;
Party B: name, address and identity information;
Party A and Party B voluntarily reached the following agreement on the compensation for the medical accident that occurred on May 3rd of 13:
1. Party A shall compensate Party B for medical expenses, death compensation, funeral expenses, spiritual comfort, etc. * * * RMB ten thousand yuan only (in words).
2. Party B designates XXX bank account as the account for accepting medical malpractice compensation. When Party A's compensation reaches the account designated by Party B, it shall be deemed that Party B has received the compensation. After Party B receives the above expenses, the compensation for personal injury caused by medical accident will be terminated, and Party B shall not claim any rights from Party A, relevant personnel and units. Regardless of the outcome, Party A and the insurance company have nothing to do with Party B..
3. After Party B receives the compensation, there is no dispute between Party A and Party B, and Party A will not hold Party B accountable. Party B shall not ask for any increase or compensation again for any reason. This medical dispute will be terminated at one time, and there is no dispute between the two parties.
Four. After receiving the compensation, Party B promises not to pursue any responsibilities (including civil and criminal) of Party A, and promises not to pursue relevant responsibilities of Party A and relevant personnel.
Verb (abbreviation of verb) The terms of this agreement are agreed by both parties on the principle of fairness and voluntariness, and are the true expression of the meaning of both parties. There is no major misunderstanding or unfairness.
After the signing of this agreement, Party A and Party B promise not to go back on their word, and both parties' rights and obligations have been handled, and they will not pursue legal responsibilities for each other.
Seven. This agreement shall come into force after being signed and sealed by both parties.
Eight. This agreement is made in duplicate, each party holds one copy, which has the same legal effect.
Party A (signature): Party B (signature):
Date: 20xx x month x day: 20xx year x month x day
Article 2 of Medical Accident Compensation Agreement Party A: _ _ _ _ _ _ (medical institution)
Party B: _ _ _ _ _ _ _ _ (the affected party)
With regard to matters related to Party B's illness, Party A and Party B reached the following agreement through negotiation in accordance with the provisions of laws and regulations, on the basis of equality, honesty and credibility:
Rule number one. Basic information of patients:
Name: _ _ _ _ _ _ _ _ _ _ _ Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
ID number: _ _ _ _ _ _ _
Tel: _ _ _ _ _ _ _ _ _ _ _
Article 2. Party B has fully understood Party A's current medical behavior and has a very clear understanding of the medical level. Party B voluntarily stopped proposing medical malpractice appraisal and proposed to settle the dispute once and for all.
Article 3. Party A shall pay Party B RMB _ _ _ _ _ _ in one lump sum, including all expenses that may occur due to this diagnosis and treatment, such as medical expenses, lost time, hospital food subsidies, escort fees, transportation fees, accommodation fees, mental damage compensation, etc.
Article 4. Payment shall be made within _ _ _ _ _ _ days from the date of signing this Agreement, and Party B shall issue a separate receipt after receiving the payment.
Article 5. After Party A pays all the money as agreed, everything caused by medical problems of patients between Party A and Party B will be terminated.
Article 6 Obligations of Party B: Party B guarantees that the contents of this Agreement will be kept confidential and will not be disclosed to a third party, and that it will not make trouble at Party A's place after receiving the money, so as to safeguard Party A's reputation. Party B guarantees that there is no compulsion, major misunderstanding or obvious unfairness when signing this Agreement.
Article 7 Liability for Breach of Contract: If Party B breaches this Agreement, divulges the contents of this Agreement to a third party, or has a dispute with Party A again or demands compensation again, it will be regarded as breach of contract. Party B shall pay the money paid by Party A in double indemnity and compensate all losses caused thereby, including loss of reputation, loss of recovery of legal fees, loss of attorney fees, etc.
Article 8 The above agreement shall come into effect after being signed or sealed by both parties.
Party A: _ _ _ _ Party B: _ _ _ _
Date: _ _ _ Date: _ _ _ _
Article 3 of the medical malpractice compensation agreement: Party A: _ _ _ _ _ _ _ _ _ _ _ _ _
Party B: _ _ _ _ _ _ _ _ _ _ _
With regard to Party B's illness, based on the principles of equality, voluntariness, honesty and credibility, Party A reached the following agreement through consultation for the purpose of concern:
First, the basic situation of patients:
Name: Age: Gender: Native place: Tel: ID number: Address:
Two. Payment amount: total: RMB xxxx.
Three. Payment time: xxx years, xxx months and xxx days.
Four. After Party A pays all the money as agreed, everything caused by medical problems of patients between Party A and Party B will be terminated. The labor relationship between both parties is dissolved at the same time, and both parties do not assume any responsibility for each other.
5. This Agreement is made in duplicate, with each party holding one copy.
6. The above agreement shall come into effect after being signed or sealed by both parties.
Party A: Party B:
Agent: Agent: Patient.
Date: 20xx x month x day: 20xx year x month x day
Article 4 of the Medical Accident Compensation Agreement Party A:
ID number:
Party B:
ID number:
Party A and Party B confirmed the facts related to personal injury of Party B on, and reached the following compensation agreement through friendly negotiation:
1. Party A voluntarily undertakes the reasonable and necessary medical expenses incurred by Party B due to the above-mentioned personal injury (RMB10,000.00 Yuan) (settled with valid hospital bills recognized by Party A, and Party A has the right to recover the expenses falsely reported by Party B if Party B cheats);
2. Party A and Party B confirm through negotiation that Party A will pay Party B RMB 1 10,000 yuan within days from the date of signing this Agreement.
3. The above two expenses are determined by both parties through negotiation according to laws or contracts. All expenses that Party A compensates Party B include but are not limited to medical expenses, lost time, nursing expenses, transportation expenses, accommodation expenses, hospital food subsidies, nutrition expenses, all subsequent treatment expenses, rehabilitation expenses, nursing expenses and mental damage compensation.
Four. After Party B collects the above fees, Party B's personal injury compensation in this agreement will be terminated, and Party B will no longer claim any rights from Party A and relevant personnel and units.
Verb (abbreviation of verb) Party B shows tolerance and understanding to Party A, and requests the public security organ not to file a case to investigate the relevant legal responsibilities of Party A and relevant personnel and units, and not to bring a lawsuit to the court.
6. This agreement is made in triplicate, one for each party and one for the public security organ. This agreement shall come into force after being signed and sealed by both parties.
Party A: Party B:
Address: Address:
Tel: Tel:
20xx year x month x day
Article 5 of Medical Accident Compensation Agreement Party A:
Party B:
After the accident:
About _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ The above facts were confirmed by the Letter of Confirmation of Road Traffic Accidents issued by the Traffic Police Brigade of Yanji Public Security Bureau, which confirmed that Huang Xiannan was fully responsible for the accident and the victim was not at fault.
Party A and Party B have reached the following settlement agreement through full consultation:
1. On the date of signing this agreement, Party A shall first compensate Party B for all economic losses of RMB 100000 Yuan only (in words: one hundred thousand Yuan only) in one lump sum, which shall be transferred to the account designated by Party B (bank: _ _ _ _ _ _ _ _ _ _ _ _ _ _). The balance of RMB _ _ _ _ ten thousand Yuan shall be paid by Party A within five years, and Party B shall be paid RMB _ _ _ every year, and shall be paid to Party B in one lump sum before April 20th every year.
2. After this agreement is signed and fully performed, Party B recognizes that Party A has compensated the victims for all economic losses, and there are no other disputes between Party A and Party B, and Party B promises not to claim any rights from Party A for this traffic accident.
3. After receiving the above money, Party B shall issue a receipt to Party A or its agent. For the injuries caused by Party A in this accident, Party B agrees to issue a letter of understanding to Party A after receiving the above payment.
4. Before the above money is paid in full, Party A shall not transfer the property or evade execution, otherwise Party B shall have the right to request the court for compulsory execution and investigate the criminal responsibility of Party A. ..
5. Liability for breach of contract: After signing this agreement, both parties must perform it according to the agreement. In case of breach of contract, the breaching party shall pay the observant party a penalty of RMB 65,438+000,000 (in words: one hundred thousand yuan).
6. This agreement is made in triplicate, one for each party and one for the people's court, all of which have the same legal effect.
Party A: Party B:
20xx year x month x day
In order to ensure the quality of equipment and safeguard the legitimate rights and interests of both parties in the enterprise, both parties shall be responsible for the quality of equipment during the purchase and sale of equipment, so both parties must abide by the quality clauses specified in this quality assurance agreement and urge them to abide by them.
Quality terms:
1. Party A and Party B must provide each other with legal, valid and complete certificates (three certificates and one photo) and build official seals in accordance with state regulations, and provide relevant procedures and materials when justified before business relations can take place.
2. The equipment provided by Party A to Party B must be produced or operated by legal enterprises.
3. The quality of the equipment provided by Party A to Party B shall meet the national legal quality and be responsible for its quality. If there are any quality problems, Party A shall be responsible for solving them.
Four. The equipment provided by Party A to Party B must have the production batch number, approval number, registered trademark, packing list and certificate of conformity. Its outer packaging label shall conform to the relevant provisions of the state and meet the requirements of cargo transportation and storage.
Five, do not meet the requirements of the above quality terms and conditions of equipment or equipment with abnormal quality or determined to be unqualified, should guarantee to return or exchange.
Party A: _ _ Co., Ltd.
Party B: _ _ _ _ _ _
Date of signature: _ _ _ _ _ _ _ _ _ _ _ _
Article 7 of the Medical Accident Compensation Agreement: Party A: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B: _ _ _ _ _ _ _ _ _ _ _ ID card: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
In accordance with the Contract Law of People's Republic of China (PRC), Regulations on Handling Medical Accidents and relevant rules and regulations of Beijing, the following agreement is reached on compensation on the premise of consensus between Party A and Party B and on the principle of friendly consultation:
1. Both parties fully understand the contents of this agreement and the risks existing in this agreement. Party B is willing to give up the responsibility and right to pursue Party A.. This agreement is an exposition of the true thoughts of Party A and Party B, and there is no dispute about its expression.
2. Party A will bear Party B's medical expenses, lost time, nursing expenses, transportation expenses, accommodation expenses and food subsidies, as well as necessary nutrition expenses and compensation, living expenses of dependents and post-treatment expenses, totaling RMB.
3. After this agreement comes into effect, Party B is willing to give up the right to pursue compensation for the difference.
4. Party B voluntarily waives the litigation right of this dispute.
5. This Agreement is made in duplicate, with each party holding one copy.
6. This agreement shall come into force as of the date of signature or signing by both parties.
Party A: _ _ _ _ _ _ _ _ _ _ _ Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Article 8 of the Medical Accident Compensation Agreement Party A:
Party B (or close relatives of patients):
Basic information of patients:
Name: Gender: Age: Address: Hospitalization Number:
After mediation, the hospital and the patient voluntarily reached the following agreement on this medical dispute:
1. Party A and Party B agree to settle the dispute through consultation, and do not pursue the causes and responsibilities of the dispute.
2. Party A voluntarily compensates Party B:
Three. Party A and Party B waive all rights based on medical disputes.
Four. Liability for breach of contract: this agreement ends the medical dispute once and for all, and neither party can go back on its word. If one party goes back on its word, it shall pay the other party a penalty of RMB xxxxx.
Verb (abbreviation of verb) This agreement shall come into effect after being signed and sealed by both parties.
This agreement is made in duplicate, one for each party.
Party A:
Party B:
20xx year x month x day
Article 9 of the Medical Accident Compensation Agreement Party A:
Hospital address:
Contact telephone number:
Postal code:
Party B:
Gender:
Age:
ID number:
Address:
Contact telephone number:
Postal code:
Relationship with the patient: □ the patient himself, □ legal guardian, □ entrusted agent, □ other immediate family members (if not the patient himself, authorization documents and identity relationship materials must be attached; If the patient has died, Party B must be the first legal heir of the deceased or his entrusted agent, and issue relevant identification materials or authorization documents.
Through friendly negotiation, Party A and Party B voluntarily reached the following agreement on the medical dispute of the patient (ID number:) during the hospitalization/outpatient treatment (inpatient/outpatient medical record number) of Party A on …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
1, (briefly describe the treatment process).
2. (patient status).
3. (whether to continue treatment and how to treat it).
4. (Cause of medical accident).
5. The level of medical malpractice confirmed by the first-class medical association is:
6. Party A has informed Party B of the rights enjoyed after a medical dispute is recognized as a medical accident and all legal ways to solve the dispute, such as: applying to the health administrative department for mediation; Bring a civil lawsuit to the court, etc. However, Party B voluntarily waives the above rights it enjoys in this medical dispute.
7. Compensation amount and payment method:
Party A shall compensate Party B for this medical accident at one time.
8. After Party A pays the compensation, Party B shall not make any demands on Party A for the medical accident for any reason, nor shall it require a third party to pursue any responsibilities of Party A..
9. Liability for breach of contract: If either party violates this agreement, it shall pay RMB to the other party as liquidated damages.
10. The following documents are attached to this agreement and are an integral part of this agreement:
(1) Proof materials or authorization documents of the identity relationship between Party B and patients;
(2) Technical appraisal of medical malpractice.
1 1. This agreement is made in duplicate, with each party holding one copy.
12. This agreement shall come into force as of the date of signature and seal by both parties.
Party A: (Seal) Party B: (Signature)
(patient himself)
(Patient's parents)
(spouse of the patient)
(All children of the patient)
(Entrusted agent)
20xx x month x day 20xx year x month x day
Medical malpractice compensation agreement 10 party a: _ _ _ _ _ _ _ _ _ (medical institution)
Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ (the affected party)
According to the Regulations on Handling Medical Accidents, Party A and Party B reached the following agreement through negotiation on the basis of complete voluntariness:
First, the basic situation of patients:
Name: _ _ _ _ _ _ Age: _ _ _ _ _ _ Gender: _ _ _ _ _ Place of origin: _ _ _ _ _ _ _ _ _ Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
ID number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Two. Medical malpractice level recognized by both parties * * *: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Three. The causes of medical accidents are: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Fourth, the amount of compensation.
1, medical expenses: _ _ _ _ _ _ yuan;
2. Lost time: _ _ _ _ _ _ _ Yuan;
3. Hospitalization food subsidy: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
4. Escort fee: _ _ _ _ _ _ yuan;
5. Disability living allowance: _ _ _ _ _ _ yuan;
6. Disability appliance fee: _ _ _ _ _ _ yuan;
7. Funeral expenses: _ _ _ _ _ _ yuan;
8. Dependent's living expenses: _ _ _ _ _ _ _ yuan;
9. Transportation fee: _ _ _ _ _ _ _ yuan;
10. Accommodation fee: _ _ _ _ _ _ _ Yuan;
1 1, mental damages: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
12. Transportation expenses, lost time, Accommodation: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Total: _ _ _ _ _ _ _
Verb (abbreviation of verb): payment time of compensation: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Liability for breach of contract of intransitive verbs
Seven. others
1. Discharge treatment: _ _ _ _ _ _ _ _ _ _ _ _
2. If the patient dies, corpse disposal: _ _ _ _ _ _ _
3. Others: _ _ _ _ _ _ _ _ _ _ _ _ _ _ eight. The above agreement shall come into effect after being signed or sealed by both parties. Party A: _ _ _ _ _ _ _ Party B: _ _ _ _ _ _ _ _
Agent: _ _ _ _ _ _ _ _ Agent: _ _ _ _ _ _ _
Date: _ _ _ _ _ _ _ Date: _ _ _ _ _ _ _
Witness: _ _ _ _ _ _ _ Date: _ _ _ _ _ _ _ _ _
Note: The specific terms can be increased or decreased according to different situations.
Medical malpractice compensation agreement 1 1 Party A:
Party B:
ID number:
According to the facts confirmed by Party A and Party B, based on the principle of friendly consultation, and in accordance with the Contract Law of People's Republic of China (PRC), Regulations on Handling Medical Accidents, General Principles of Civil Law, Interpretation of the Supreme People's Court on Several Issues Concerning the Applicable Law in the Trial of Personal Injury Compensation Cases and relevant laws and regulations of _ _ _ _ _, the following agreement is reached on compensation:
1. Both parties fully understand and realize the risks existing in this agreement, and Party B voluntarily waives the right to pursue Party A's relevant responsibilities. This agreement is a true expression of will by both parties, and it is hereby declared that there is no defect in the expression of will;
2. Party A shall pay Party B medical expenses, lost time, nursing expenses, transportation expenses, accommodation expenses, hospital food subsidies, necessary nutrition expenses, disability compensation, disability assistive devices expenses, dependents' living expenses, follow-up treatment expenses, mental damages and other expenses of RMB * *;
III. After this Agreement comes into effect, Party B voluntarily waives the right to claim the price difference;
Fourth, Party B voluntarily waives the litigation right of disputes between the two parties.
V. This Agreement is made in duplicate, with each party holding one copy;
6. This Agreement shall come into force as of the date of signature or seal by both parties.
Party A:
Party B:
20xx year _ _ _ _ _ _ _ _ _
20xx year _ _ _ _ _ _ _ _ _