Date:Patient Agreement • July 26th, 2021 • Texas
Contract Type FiledJuly 26th, 2021 JurisdictionThis Patient Agreement (“Agreement”) is entered into between The Angel Plan Medical, LLC, a Texas limited liability company, located at 269 East Ovilla road, Suite 4, Red Oak, Texas 75154 (“Angel Plan”), and Federico Maese, (“Physician”) in their capacity as agents of Angel Plan and you, (“Patient”).