Common Contracts

Direct Primary Care Patient Agreement

Primary Care Patient Agreement • February 6th, 2019 • Tennessee

• Contract Type
  Primary Care Patient Agreement
• Filed
  February 6th, 2019
• Jurisdiction
  Tennessee

This is an Agreement between PATMOS EmergiClinic, Inc., (Practice), a Tennessee Corporation, located at 1231 Tusculum Blvd., Greeneville, TN 37745, Robert S. Berry, M.D. (Physician) in his capacity as an agent of PATMOS EmergiClinic, Inc. (whose name will change to DirectMD Greeneville), and (Patient). This Agreement is entered by mutual voluntary consent on , 20 .