Common Contracts

1 similar Patient Agreement contracts

Contract
Patient Agreement • November 1st, 2020 • Kentucky

This is an Agreement between ACCESS MED, PLLC, a Kentucky professional corporation, located at 535 Wellington Way, Suite #330, Lexington, KY 40503 and 642 East Lexington Avenue, Danville, Kentucky, 40422 (Access Med), Jeremy Stich, MD, Phillip A. Williford, MSPAS, PA-C, and Ryan Miller, MSPAS, PA-C (Provider) in their capacity as agents of Access Med, and you, (Patient).

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