Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.
Appears in 68 contracts
Samples: Physician Patient Arbitration Agreement, Physician Patient Arbitration Agreement, Physician Patient Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and, if not revoked, will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between the parties.
Appears in 28 contracts
Samples: Arbitration Agreement, Arbitration Agreement, Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and if not revoked will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between the parties.
Appears in 27 contracts
Samples: Arbitration Agreement, Arbitration Agreement, Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician Physician within 30 days of signature. It is the intent of this agreement to apply to signature and if not revoked will govern all medical services rendered any time for any conditionreceived by the patient.
Appears in 19 contracts
Samples: Physician Patient Arbitration Agreement, Physician Patient Arbitration Agreement, Physician Patient Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of days, or signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.
Appears in 6 contracts
Samples: Physician Patient Arbitration Agreement, Physician Patient Arbitration Agreement, Midwife/Physician Patient Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and if not revoked will govern all professional services received by the intent of this agreement to apply to all medical services rendered any time for any conditionpatient.
Appears in 5 contracts
Samples: Arbitration Agreement, Health Care Provider Patient Arbitration Agreement, Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered at any time for any condition.
Appears in 4 contracts
Samples: Physician Patient Arbitration Agreement, Physician Patient Arbitration Agreement, Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician healthcare provider within 30 days of signature. It is signature and, if not revoked, will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between the parties.
Appears in 4 contracts
Samples: Arbitration Agreement, Arbitration Agreement, Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to signature and if not revoked will govern all medical services rendered any time for any conditionto the physician within 30 days of signature and if not revoked will govern all medical services received by the patient.
Appears in 3 contracts
Samples: Physician Patient Arbitration Agreement, Physician Patient Arbitration Agreement, Physician Patient Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician Provider within 30 days of signature. It is the intent of this agreement to apply to signature and if not revoked will govern all medical services rendered any time for any conditionreceived by the patient.
Appears in 2 contracts
Samples: Provider Patient Arbitration Agreement, Provider Patient Arbitration Agreement
Revocation. This agreement Agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.
Appears in 2 contracts
Samples: Physician Patient Arbitration Agreement, Physician Patient Arbitration Agreement
Revocation. This agreement Agreement may be revoked by written notice delivered mailed to the physician Physician, by certified mail, within 30 days of after signature. It is the intent of this agreement to apply to , and if not revoked shall govern all medical services rendered any time for any conditionreceived by the Patient after the date of this Agreement.
Appears in 2 contracts
Samples: Arbitration Agreement, Arbitration Agreement
Revocation. This The agreement may be revoked by written notice delivered to the physician dentis within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered at any time for any condition.
Appears in 2 contracts
Samples: Doctor Patient Arbitration Agreement, Doctor Patient Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to signature and if not re- voked will govern all medical services rendered any time for any conditionreceived by the patients.
Appears in 2 contracts
Samples: Arbitration Agreement, Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signaturesignature and if not revoked will govern all professional services received by the patient and all other disputes between the parties. It is the intent of this agreement to apply to all medical services rendered any time for any condition.Article 6:
Appears in 2 contracts
Samples: Arbitration Agreement, Arbitration Agreement
Revocation. This this agreement may be revoked by written notice delivered deliver to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.
Appears in 1 contract
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.
Appears in 1 contract
Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and, if not revoked, will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes be- tween the parties.
Appears in 1 contract
Samples: Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician doctor within 30 days of signature. It is the intent of this agreement to apply to signature and if not revoked will govern all medical services rendered any time for any conditionreceived by the patient.
Appears in 1 contract
Samples: Doctor Patient Arbitration Agreement
Revocation. This agreement may be revoked by a written notice delivered to the physician health care provider within 30 days of signature. It is signature and if not revoked will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between the parties.
Appears in 1 contract
Samples: Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply apply-to all medical services rendered any time for any condition.
Appears in 1 contract
Revocation. This agreement may be revoked by written notice delivered to the physician Doctor within 30 days of days, or signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.
Appears in 1 contract
Samples: Doctor Patient Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and if not revoked will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes be1ween the parties.
Appears in 1 contract
Samples: Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signatureprovider. It is the intent of this agreement to apply to all medical services rendered any time for any condition.
Appears in 1 contract
Samples: Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and if not revoked will govern all professional services by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between parties.
Appears in 1 contract
Samples: California Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and if not revoked will govern all professional services received by the intent of this agreement to apply to client and all medical services rendered any time for any conditionother disputes between the parties.
Appears in 1 contract
Samples: Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and, if not revoked, will govern all professional services received by the intent of this agreement to apply to client and all medical services rendered any time for any conditionother disputes between the parties.
Appears in 1 contract
Samples: Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician assistant within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered at any time for any condition.
Appears in 1 contract
Samples: Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 thirty days of signature. It is signature and if not revoked will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between the parties.
Appears in 1 contract
Samples: Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. , It is the intent of this agreement to apply to all medical services rendered any time for of any condition.
Appears in 1 contract
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It , it is the intent of this agreement to apply to all medical services rendered any time for any condition.
Appears in 1 contract
Revocation. This agreement may be revoked by written by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.
Appears in 1 contract
Samples: Patient Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. , It is the intent of this agreement to apply to all medical services rendered any time for any condition.
Appears in 1 contract
Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and if not revoked will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between the parties.
Appears in 1 contract
Samples: Arbitration Agreement
Revocation. This agreement may be revoked by written notice delivered to the physician Physician within 30 days of signature. It is the intent of this agreement to apply to signature and if not revoked will govern all medical services rendered any time for any conditionreceived by the patient. .
Appears in 1 contract
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time at anytime for any condition.
Appears in 1 contract
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signaturedays, or sig- nature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.
Appears in 1 contract
Samples: Patient Consent Agreements
Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and it not revoked will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between the parties.
Appears in 1 contract
Samples: Arbitration Agreement
Revocation. This this agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.
Appears in 1 contract
Revocation. This agreement may be revoked by written notice delivered to the physician Medical Practice within 30 days of signature. It is the intent of this agreement to apply to signature and if not revoked will govern all medical services rendered any time for any conditionreceived by the patient.
Appears in 1 contract
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to signature and if not revoked will govern all medical services rendered any time for any conditionreceived by the patient.
Appears in 1 contract
Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition. .
Appears in 1 contract