Common Contracts
2 similar Patient Membership Agreement contracts
Dr Lori A Cohen Patient Membership AgreementPatient Membership Agreement • November 29th, 2021
The Practice provides traditional medical services to patients. You desire, in exchange for a fee indicated below, certain non-medical services or Amenities( the “Amenities”) from the Practice as part of and by virtue of this patient-membership agreement. The purpose of this agreement is to set forthe the terms and conditions of how the Amenities will be furnished to you by the Practice. You and the Practice therefore agree as follows.
Dr Lori A Cohen Patient Membership AgreementPatient Membership Agreement • May 9th, 2021
The Practice provides traditional medical services to patients. You desire, in exchange for a fee indicated below, certain non-medical services or Amenities( the “Amenities”) from the Practice as part of and by virtue of this patient-membership agreement. The purpose of this agreement is to set forthe the terms and conditions of how the Amenities will be furnished to you by the Practice. You and the Practice therefore agree as follows.
