Patient’s Responsibilities Sample Clauses

Patient’s Responsibilities. Patient agrees to pay the Fee of Nine Hundred Dollars ($900) or if patient selects semi annual payment of Four Hundred and Fifty Dollars ($450) on the Application and Payment Form attached at Appendix A. This Agreement will renew automatically for additional one-year terms unless Patient or Patient’s legally designated caregiver provides the Practice with advance written notice of non-renewal 45 days prior to the annual anniversary of the Effective Date. Patient understands that the Practice may change the Fee at any time on notice to Patient and that the revised Fee will be applied at Patient’s next annual renewal date. Without limiting anything contained herein, the Practice may change its fee schedule upon at least thirty (30) days’ prior written notice by sending Patient a notice enclosing a revised fee schedule.

Patient’s Responsibilities. Patient shall be responsible for performing the following obligations so long as Patient remains a patient of KBFTT: i. As compensation for the Services performed by KBFTT, prior to the commencement of each session, Patient shall pay KBFTT $225 per fifty-­‐minute session throughout the term of this Agreement. ii. Since KBFTT does not accept insurance, it is Patient’s responsibility to submit claims for reimbursement to Patient’s insurance company, and to follow up on the status of any claims submitted. iii. Patient will be honest with his/her Psychotherapist about his/her thoughts and feelings, and Patient will comply with the treatment plan, including completing any outside of session “homework” assignments, as established by Patient’s Psychotherapist. iv. Patient shall conduct himself/herself in an honest, appropriate, and lawful manner when interacting with Psychotherapist and other members of KBFTT’s staff.

Patient’s Responsibilities. The patient has the responsibility to provide, to the best of his/her knowledge, accurate and complete information about present complaints, past illness, hospitalizations, medication, advance directives and other matters relating to his/her health.

Patient’s Responsibilities. A. Patient agrees to register Grower with the Oregon Medical Marijuana Program (OMMP) as the person responsible for the grow site and to provide timely written documentation to support Grower’s registration. This includes providing Grower with a registry identification card and placard within two days of their receipt by Patient. B. Patient agrees to reimburse Grower for expenses related to growing medical marijuana at a rate of $ per month, or for % of the following expenses related to growing medical marijuana: i. Utilities: Electricity: $ per month Water: $ per Other: $ per ii. Supplies: $ per C. Patient agrees to keep confidential and not release to any 3rd party the name of Grower or the address of the designated grow site. D. Patient agrees that Grower may donate, for no consideration, excess marijuana beyond the amount agreed to under section 2B of this Agreement to other registry identification cardholders or to the Compassion Center’s Patient-to-Patient Medicine Donation Program. E. Patient agrees to hold Grower harmless from liability for medical or legal problems that Patient may experience as a result of using cannabis grown and supplied by Grower under the Oregon Medical Marijuana Act and according to section 2C of this Agreement.