Common Contracts

DIRECT PRIMARY CARE PATIENT AGREEMENT DUNES FAMILY CLINIC, LLC

Direct Primary Care Patient Agreement • September 13th, 2020 • Indiana

• Contract Type
  Direct Primary Care Patient Agreement
• Filed
  September 13th, 2020
• Jurisdiction
  Indiana

This is an Agreement between Dunes Family Clinic, LLC (Practice), a State of Indiana LLC, Dr. Juana Ambriz de Williams, DNP, FNP-BC (Nurse Practitioner), in her capacity as an agent of Dunes Family Clinic LLC and you, (Patient).