Common Contracts

2 similar Patient Agreement contracts

PATIENT AGREEMENT
Patient Agreement • May 18th, 2021 • Tennessee

By your signature, you acknowledge that you are voluntarily becoming a patient of LifeMed Clinic. You also acknowledge this is a Membership Agreement between Lifestyle Medical Ministry, also known as LifeMed Clinic, a Tennessee 501c3 non-profit (Clinic, Us or We), and you (Patient or You).

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PATIENT AGREEMENT
Patient Agreement • May 6th, 2021 • Tennessee

By your signature, you acknowledge that you are voluntarily becoming a patient of LifeMed Clinic. You also acknowledge this is a Membership Agreement between Lifestyle Medical Ministry, also known as LifeMed Clinic, a Tennessee 501c3 non-profit (Clinic, Us or We), and you (Patient or You).

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