MEMBERSHIP AGREEMENTMembership Agreement • November 16th, 2016 • New York
Contract Type FiledNovember 16th, 2016 JurisdictionThis Membership Agreement (the “Agreement”), together with Appendix I, II, III, IV, VI, VII, (available on our website) and Member Application constitutes the Patient Contract between , whose address is (hereinafter “Member”, “you” or “patient”), and John Muney M.D., P.C., (hereinafter “AMG Medical Group” or “AMG”).
MEMBERSHIP AGREEMENTMembership Agreement • November 16th, 2016 • New York
Contract Type FiledNovember 16th, 2016 JurisdictionThis Membership Agreement (the “Agreement”), together with Appendix I, II, III, IV, VI, VII, (available on our website) and Member Application constitutes the Patient Contract between , whose address is (hereinafter “Member”, “you” or “patient”), and John Muney M.D., P.C., (hereinafter “AMG Medical Group” or “AMG”).