WHOLEHEALTH NETWORKS INC. PARTICIPATING PRACTITIONER AGREEMENT CERTIFICATE OF PARTICIPATIONParticipating Practitioner Agreement • February 8th, 2018
Contract Type FiledFebruary 8th, 2018I, , (“PRACTITIONER”), hereby tender this Certificate of Participation in WholeHealth Networks, Inc (WHN) upon the terms and conditions set forth in the attached WHN Participating Practitioner Agreement and to serve as a Participating Provider for the Group benefit plans contracted on my behalf by WHN. I hereby agree to the Terms and Conditions of this Agreement. I hereby agree to extend a % (minimum of 10%) discount from my published fee schedule to all WHN Choices Program Participants (see page two for definition of Choices Program). If the above area is left blank, WHN will assume and Practitioner agrees a 20% discount will be extended to all Choices Program members.