PATIENT CARE AGREEMENTPatient Care Agreement • October 19th, 2012
Contract Type FiledOctober 19th, 2012I, , in exchange for receiving treatment and care from the Miami Institute for Joint Reconstruction, and its affiliated physicians including , M.D. (which includes all employees of the Miami Institute for Joint Reconstruction and/or of my physician), hereby acknowledge and accept the following terms (please place your initials by each paragraph):