Common Contracts

2 similar Membership Agreement contracts

BRAND NEW MED MEMBERSHIP AGREEMENT
Membership Agreement • September 17th, 2020

This is an agreement between Brand New MED, PLLC, a Texas Professional Liability Corporation with physical practice address at 206 YMCA DRIVE, Suite 103, Waxahachie, TX 75165 (BRAND NEW MED), NATALIA J SOUTHERLAND, MD (physician) in their capacity as an agent of BRAND NEW MED for YOU (the Patient)

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BRAND NEW MED MEMBERSHIP AGREEMENT
Membership Agreement • June 6th, 2018

with physical practice address at 206 YMCA DRIVE, Suite 103, Waxahachie, TX 75165 (BRAND NEW MED), NATALIA J SOUTHERLAND, MD (physician) in their capacity as an agent of BRAND NEW MED for YOU (the Patient)

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