Common Contracts

Patient Agreement

Patient Agreement • April 8th, 2021 • Washington

• Contract Type
  Patient Agreement
• Filed
  April 8th, 2021
• Jurisdiction
  Washington

This is an Agreement between Cornerstone Family Medicine, PLLC, located at 326 North Market Street, Washington, NC, (Cornerstone), and J. Wesley Earley, MD (Physician) in his capacity as an agent of Cornerstone, and you,

PATIENT AGREEMENT

Patient Agreement • October 10th, 2020 • Washington

• Contract Type
  Patient Agreement
• Filed
  October 10th, 2020
• Jurisdiction
  Washington

This is an Agreement between Cornerstone Family Medicine, PLLC, located at 326 North Market Street, Washington, NC, (Cornerstone) A division of AccessMedicine, PA located at 112 West Main Street, Williamston, NC 27892, and J. Wesley Earley, MD (Physician) in his capacity as an agent of Cornerstone, and you,

Patient Agreement

Patient Agreement • December 13th, 2019 • Washington

• Contract Type
  Patient Agreement
• Filed
  December 13th, 2019
• Jurisdiction
  Washington

This is an Agreement between Cornerstone Family Medicine, PLLC, located at 326 North Market Street, Washington, NC, (Cornerstone), a division of AccessMedicine, PA located at 112 West Main Street, Williamston, NC, and J. Wesley Earley, MD (Physician) in his capacity as an agent of Cornerstone, and you,