Start by defining the clinic — not by shopping only for a physician signature. The physician should know the location, services, practitioners, regulatory structure, medication or procedure model, expected availability, and the responsibilities being accepted before the engagement is activated. A director who accepts a role without knowing the practice cannot really govern it.
Open the full explanation2 sections and primary sources
What should I have ready before hiring a Medical Director?
Your clinic structure and AHCA status, the service lines you run, your providers and any APP supervision needs, your location(s), a requested start date, any transition from a prior director, and your expectations for physician access and on-site involvement.
Is a signed Medical Director agreement enough to make the role active?
For AHCA clinics especially, a signed agreement is the start — the governance relationship and any required agency filing have to actually be in place before the director is functioning.