Common Contracts

1 similar Patient Agreement contracts

PATIENT AGREEMENT
Patient Agreement • March 7th, 2023 • Kansas

This is an Agreement between PRAIRIE ALLERGY, L.L.C., a Kansas professional corporation, located at 2110 Stratford Rd, Mission Hills, KS 66208 (Prairie Allergy), Brynn E Everist, M.D. (Physician), in their capacity as an agent of Prairie Allergy, and you, (Patient).

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