PrivatePay Contract

Private Pay Transportation Contract (Attorney Approved)

This Attorney-Approved Private Pay Transportation Contract is designed for Non-Emergency Medical Transportation (NEMT) providers offering services outside of insurance, broker, or Medicaid coverage. It establishes a clear, legally sound agreement between the transportation provider and the client or facility, protecting both parties from misunderstandings and disputes.

The contract clearly outlines the scope of services, payment terms, client responsibilities, cancellation policies, and limitations of liability, ensuring transparency before services are rendered. It also includes governing law provisions specific to Florida, termination clauses, and signature blocks to ensure enforceability.

Ideal for private clients, assisted living facilities, group homes, dialysis centers, and legal referrals, this agreement helps NEMT operators operate professionally, get paid on time, and reduce legal risk.

Best used for:

• Private pay medical transportation
• Facility and recurring transport agreements
• Out-of-pocket and non-covered services
• Professional, compliant business operations

Includes:

• Attorney-reviewed language
• Clear payment and fee structure
• Liability and dispute protections
• Ready-to-sign format with attachment schedule

A must-have contract for any NEMT provider serious about running a compliant, professional, and protected private pay operation.