CONCIERGE PRACTICE PATIENT AGREEMENTConcierge Practice Patient Agreement • March 11th, 2016 • California
Contract Type FiledMarch 11th, 2016 JurisdictionThe Physician delivers care on behalf ELLEN MCDONALD M.D. INC., at the address set forth above. In exchange for certain fees paid by You, ELLEN MCDONALD M.D. INC., through its Physician, agrees to provide Patient with the Services described in this Agreement on the terms and conditions set forth in this Agreement.