Common Contracts
3 similar Patient Agreement contracts
PATIENT AGREEMENT NOSTALGIA FAMILY MEDICINE P.A.Patient Agreement • May 31st, 2024 • Florida
This is an Agreement between NOSTALGIA FAMILY MEDICINE P.A.., a Florida professional corporation, located at 771 Ciara Creek Cove, Longwood, FL 32750 (NOSTALGIA), Brandon S. Fletcher, M.D. (Physician) in his capacity as an agent of NOSTALGIA, and you, (Patient).
PATIENT AGREEMENT NOSTALGIA FAMILY MEDICINE P.A.Patient Agreement • April 23rd, 2024 • Florida
This is an Agreement between NOSTALGIA FAMILY MEDICINE P.A.., a Florida professional corporation, located at 771 Ciara Creek Cove, Longwood, FL 32750 (NOSTALGIA), Brandon S. Fletcher, M.D. (Physician) in his capacity as an agent of NOSTALGIA, and you, (Patient).
PATIENT AGREEMENT NOSTALGIA FAMILY MEDICINE P.A.Patient Agreement • September 13th, 2022 • Florida
This is an Agreement between NOSTALGIA FAMILY MEDICINE P.A., a Florida professional corporation, located at 771 Ciara Creek Cove, Longwood, FL 32750 (NOSTALGIA), Brandon S. Fletcher, M.D., (Physician) in his capacity as an agent of NOSTALGIA, and you, (Patient).
