Common Contracts

INTEGRATE INTERNAL MEDICINE FOUNDATIONAL HEALTH - PATIENT AGREEMENT

Patient Agreement • February 20th, 2023 • Idaho

• Contract Type
  Patient Agreement
• Filed
  February 20th, 2023
• Jurisdiction
  Idaho

This Patient Agreement (Agreement) is between Integrate Internal Medicine, P.C. (the Practice, Us or We), and (Patient, Member or You).

INTEGRATE INTERNAL MEDICINE COMPREHENSIVE WELLNESS - PATIENT AGREEMENT

Patient Agreement • February 19th, 2023 • Idaho

• Contract Type
  Patient Agreement
• Filed
  February 19th, 2023
• Jurisdiction
  Idaho

This Patient Agreement (Agreement) is between Integrate Internal Medicine, P.C. (the Practice, Us or We), and (Patient, Member or You).

INTEGRATE INTERNAL MEDICINE COMPREHENSIVE WELLNESS - PATIENT AGREEMENT

Patient Agreement • January 14th, 2023 • Idaho

• Contract Type
  Patient Agreement
• Filed
  January 14th, 2023
• Jurisdiction
  Idaho

This Patient Agreement (Agreement) is between Integrate Internal Medicine, P.C. (the Practice, Us or We), and (Patient, Member or You).

INTEGRATE INTERNAL MEDICINE FOUNDATIONAL HEALTH - PATIENT AGREEMENT

Patient Agreement • June 3rd, 2022 • Idaho

• Contract Type
  Patient Agreement
• Filed
  June 3rd, 2022
• Jurisdiction
  Idaho

This Patient Agreement (Agreement) is between Integrate Internal Medicine, P.C. (the Practice, Us or We), and (Patient, Member or You).