DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • January 15th, 2024 • Ohio
Contract Type FiledJanuary 15th, 2024 JurisdictionAgreement”) is made this ____day of , 2016 (“Effective Date”) by and between BEAVERCREEK FAMILY HEALTH CENTER, LLC, an Ohio limited liability company, located at 2365 Lakeview Drive, Suite C, Beavercreek, OH 45431 (the “Practice”) and (“Patient”).