Direct Primary Care Membership AgreementDirect Primary Care Membership Agreement • November 1st, 2021 • Indiana
Contract Type FiledNovember 1st, 2021 JurisdictionAgreement”) is made this day of , 20 by and between LEGACY FAMILY HEALTHCARE, LLC, in Indiana limited liability company, located at 308 S Scott St., Warsaw, IN 46580 (the “Practice”) and (the “Patient”).