Patient AgreementPatient Agreement • January 23rd, 2024 • Michigan
Contract Type FiledJanuary 23rd, 2024 JurisdictionThis Agreement is between Citadel Health Center, PLLC (the Practice, Us, Our or We), and the person acknowledging this consent electronically and any family members they are enrolling (Patient, Member, They or You).
Patient AgreementPatient Agreement • January 18th, 2022 • Michigan
Contract Type FiledJanuary 18th, 2022 JurisdictionThis Agreement is between Citadel Health Center, PLLC (the Practice, Us, Our or We), and the person acknowledging this consent electronically and any family members they are enrolling (Patient, Member, They or You).