Common Contracts

1 similar Membership Agreement contracts

Membership Agreement.
Membership Agreement • January 28th, 2022

We are pleased that you are joining our exciting new practice for personalized medical services (the “Program”) with Utopia Primary Care, PLLC (the “Practice”). The necessary Membership Form is enclosed with this letter. The purpose of this letter is to summarize the services we will now be able to provide you on a very exclusive basis and what we expect from you in expanding upon our Physician/Patient relationship. If you find the enclosed terms satisfactory, I ask that you sign the copy of this letter on page 4 and return it and the Membership Form with your payment to us. Our receipt of the signed, duplicate copy of this letter, the Membership Form and payment will constitute an agreement between us for the provision of services set forth in this agreement by us to the person or persons set forth in your Membership Form.

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