Common Contracts

2 similar Services Agreement contracts

Contract
Services Agreement • January 6th, 2023 • Indiana

Patient acknowledges that execution of this Services Agreement is an application to join Fountain Square Holistic Family Medicine, LLC, medical practice as a Patient. Fountain Square Holistic Family Medicine, LLC, in its sole discretion, may accept or reject any Patient at any time for any reason. If Patient is accepted by Fountain Square Holistic Family Medicine, LLC, this Agreement shall govern the ensuing business relationship.

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Contract
Services Agreement • November 26th, 2022 • Indiana

Patient acknowledges that execution of this Services Agreement is an application to join Fountain Square Holistic Family Medicine, LLC, medical Practice as a Patient. Fountain Square Holistic Family Medicine, LLC, in its sole discretion, may accept or reject any Patient at any time for any reason. If Patient is accepted by Fountain Square Holistic Family Medicine, LLC, this Agreement shall govern the ensuing business relationship.

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