Common Contracts
3 similar Patient Agreement contracts
PATIENT AGREEMENTPatient Agreement • October 5th, 2023 • Indiana
The Practice, located at 1501 S. Court Street, Suite 206, Crown Point, Indiana 46307, provides ongoing primary care services to its patients/members in a direct primary care practice model (DPC). In exchange for certain periodic fees the Practice agrees to provide the Patient with certain Services under the terms and conditions contained in this Agreement.
PATIENT AGREEMENTPatient Agreement • January 6th, 2023 • Indiana
The Practice, located at 1501 S. Court Street, Suite 206, Crown Point, Indiana 46307, provides ongoing primary care services to its patients/members in a direct primary care practice model (DPC). In exchange for certain periodic fees the Practice agrees to provide the Patient with certain Services under the terms and conditions contained in this Agreement.
PATIENT AGREEMENTPatient Agreement • August 17th, 2020 • Indiana
The Practice, located at 250 North Main Street, Suite 6D Crown Point, Indiana 46307, provides ongoing primary care services to its patients/members in a direct primary care practice model (DPC). In exchange for certain periodic fees the Practice agrees to provide the Patient with certain Services under the terms and conditions contained in this Agreement.
