Common Contracts

Patient Member Agreement – Individual or Family Plan

Patient Member Agreement • April 23rd, 2021 • North Carolina

• Contract Type
  Patient Member Agreement
• Filed
  April 23rd, 2021
• Jurisdiction
  North Carolina

This PATIENT MEMBER AGREEMENT (this “Agreement”) sets forth the terms and conditions pursuant to which you (“you” or “Patient”) will become a patient member of Lantern Health, PLLC. (the “Clinic”) under the Lantern Membership. If your Type of Membership is for more than one person (e.g. for you and your spouse, your children under age 26, et cetera covered under the same Plan) then the term “you” or “Patient” as used in this Agreement shall include all family members accessing the Clinic under a single Membership.