Common Contracts
2 similar Primary Care Patient Agreement contracts
DIRECT PRIMARY CARE PATIENT AGREEMENTPrimary Care Patient Agreement • August 8th, 2022 • Georgia
This is an Agreement between Prime Direct Care (Practice), a Georgia State LLC., located at 9070 Peridot Parkway, Stockbridge GA 30281. Bridget Randolph (Nurse Practitioner) in her capacity as an agent of Prime Direct Care, LLC and you, (Patient).
DIRECT PRIMARY CARE PATIENT AGREEMENTPrimary Care Patient Agreement • July 22nd, 2021 • Georgia
This is an Agreement between Prime Direct Care (Practice), a Georgia State LLC., located at 9070 Peridot Parkway, Stockbridge GA 30281. Bridget Randolph (Nurse Practitioner) in her capacity as an agent of Prime Direct Care, LLC and you, (Patient).
