Common Contracts
2 similar Patient Agreement contracts
Patient AgreementPatient Agreement • December 30th, 2023 • Arizona
The Practice, located at 5950 S COOPER RD STE 1 CHANDLER AZ, 85249 provides ongoing primary care medicine to its Members in a direct pay, membership model (DPC). In exchange for certain periodic fees, the Practice agrees to provide You with the Services described in this Agreement under the terms and conditions contained within.
PATIENT AGREEMENTPatient Agreement • August 4th, 2023 • Georgia
The Practice, located at 101 PILGRIM VILLAGE DR, STE 400, CUMMING, GA 30040 provides ongoing primary care medicine to its Members in a direct pay, membership model (DPC). In exchange for certain periodic fees, the Practice agrees to provide You with the Services described in this Agreement under the terms and conditions contained within.
