PRACTICE SERVICES AGREEMENTPractice Services Agreement • July 9th, 2020
Contract Type FiledJuly 9th, 2020This Practice Agreement (the “Agreement”) is made as of , (“Effective Date”), by and between Comprehensive Allergy and Asthma Care, PLLC (the “Practice”) and the individual identified on the signature page (“Patient”). When signing as a legal representative of the actual patient (i.e., you are the parent or guardian of the patient), the term “Patient” will be read to include you and/or the actual patient, as applicable.
PRACTICE SERVICES AGREEMENTPractice Services Agreement • July 9th, 2020
Contract Type FiledJuly 9th, 2020This Practice Agreement (the “Agreement”) is made as of , 202 (“Effective Date”), by and between Comprehensive Allergy and Asthma Care, PLLC (the “Practice”) and the individual identified on the signature page (“Patient”). When signing as a legal representative of the actual patient (i.e., you are the parent or guardian of the patient), the term “Patient” will be read to include you and/or the actual patient, as applicable.