Medical Accident Compensation Agreement Model

Medical accident compensation agreement model

Party A: the first party, the company, the medical institutions.

Party B: the first party, the first, the second and the third.

In accordance with the provisions of the regulations on the handling of medical accidents, both parties have reached the following agreement through deliberations and completely voluntary.

First, the basic situation of patients:

Name: the age of the Chinese people: the age of sex, the age of the population, the sex of the population: the land of the people's homes.

The ID card number is: the number of the residents in the hospital is: No.

Disease diagnosis: diagnosis, diagnosis, diagnosis, treatment, diagnosis, treatment, diagnosis and treatment.

Treatment results: the following are the results of treatment.

Two. The level of medical malpractice jointly identified by both parties, namely, the first, the second, the second, the second, the second, the second, the second, the second, the right, the right, the wrong.

Three, the causes of medical accidents are: 1.

Four, the amount of compensation

1, medical expenses: it will be:

2, the cost of lost work: the company is in charge.

3. Allowance for hospitalization meals:

4.

5, disability living allowance: it will be $10 million yuan.

6. Disability appliances charge: yuan, Wei, and yuan.

7.

8. The cost of living for dependants:

9.

10, lodging fee: it is:

11, mental injury solatium:

12. Transportation expenses, loss of work expenses and accommodation fees for spouses and immediate family members of patients who died in funeral activities are: the amount of pportation fee, the cost of accommodation and the accommodation fee: not less than 2 persons.

The total amount is:

Five, the payment time of the compensation payment: it is in the following aspects:

Six, liability for breach of contract

Seven, others

1. Discharge treatment: it will be handled in the following ways.

2. For dead patients, cadavers are processed.

3, the rest: the other two are: 1.

Eight. The above agreement shall become effective after signature or seal by both parties.